What are the responsibilities and job description for the PRC Billing Specialist position at Absentee Shawnee Tribe of Indians of Oklahoma?
This position is currently open.
Public?:
Internal
Division:
Health
Reports To:
PRC Director
Type of Position:
Regular Full Time
Location:
Little Axe Health Center / 15951 Little Axe Dr. / Norman, OK 73026
General Description
This position serves as the liaison between the Absentee Shawnee Tribe, the patients and the third party care providers to whom the patients have been referred. Performs clerical assistance including typing, processing patient referrals, retrieval of records and inputting fiscal and statistical data in a data base. Is the point of contact for Plexis software.
Responsibilities & Duties
Perform clerical assistance including typing, processing patient referrals, retrieval of records and inputting fiscal and statistical data in a data base.
Manage eligible Tribal members’ profiles, including intakes, updates, consents and other important information.
Provide information in person or by telephone regarding services available under the Absentee Shawnee Tribe’s Health Programs.
Respond to PRC inquiries and requests for PRC assistance. Such responses are through telephone, correspondence, and personal visits with consumers.
Develop and maintain a positive working relationship and supports the overall team effort of the Absentee Shawnee Tribal Health program providers including clinics, physicians, community outreach programs, third party resources, community health care nurses, home health care nurses, diabetes initiative, behavioral health, billing office, health board and Case Manager Review Committee.
Enter, update, and verify all alternate resource data necessary for patient and third party payers; verify insurance coverage; obtain signatures for file on forms for alternate resources.
Perform routine clerical duties including processing incoming and outgoing mail, logging all incoming calls, copying all necessary documents, filing, and maintains mailing lists.
Act as the point of contact liaison with Plexis programmer.
Manage Tribal members’ profiles, including updates, consents and other important information
Deliver documents and interoffice mail to appropriate departments.
Maintain documents for filing of vendor invoices and mailing denials.
Process all medical claims.
Provide information in person or by telephone regarding services available under the Absentee Shawnee Tribe’s Health Programs.
Respond to PRC inquiries and requests for PRC assistance. Such responses are through telephone, correspondence, and personal visits with consumers.
Develop and maintain a positive working relationship and supports the overall team effort of the Absentee Shawnee Tribal Health program providers including clinics, physicians, behavioral health, billing office.
Verify all alternate resource data necessary for patient and third party payers; verifies insurance coverage; obtains signatures for file on forms for alternate resources.
Perform routine clerical duties including logging all incoming calls, copying all necessary documents, and filing.
Enter client data into the appropriate database; maintains accurate files, and organizes data.
Maintain strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Attend health orientation, HIPAA training, safety training and other health system training needed to be competent in their position.
Perform other duties assigned.
Education Requirements and Qualifications
Education and Qualifications
High School graduate or GED.
Experience in lieu of education may be considered on a year for year match.
3 or more years’ experience as a medical or business office setting.
Experience as a medical claims processor preferred.
Completion of a program or training in Medical Office Technology or a related field preferred.
Experience with electronic health record (EHR) software preferred.
Knowledge, Skills and Abilities
Must be computer literate.
Incumbent must possess the ability to interact with a wide variety of individuals and handle several complex situations simultaneously.
Impeccable communication and negotiation skills, written and verbal, and excellent computer and typing skills.
Must be able to provide quality customer service.
Must be able to apply critical thinking through the ever changing work environment.
Knowledge of software to access and interpret patient data.
Ability to communicate with patients, families, caregivers and other healthcare professions.
Ability to be culturally sensitive to Native Americans.
Good organizational and assessment skills.
Must be self-motivated.
Must be able to prioritize work tasks and be creative with projects.
Must be able to perform duties with a minimum of supervision.
Must be able to function as a team member.
Must be able to be a dependable team member of the clinic setting and be ready to start work on time.
Must be able to be sedentary for long periods of time, will require a majority of sitting time.
Must be able to work in an office setting with public interaction and exposure to potential illnesses.
Must possess a valid Oklahoma Driver’s license.
Must be able to pass a background check and drug screen.
Physical Requirements and Working Conditions
Must be able to sit, stand, stoop, bend or kneel for long periods of time.
Sitting or standing or walking for long period of time; occasional bending, squatting, kneeling, stooping; good finger dexterity and feeling; frequent repetitive motions; talking hearing and visual acuity.
Frequent lifting (up to 15 lbs)
Occasional lifting (up to 30 lbs)
Native American Preference/EEO/Drug Free/Smoke Free Workplace
Posted Date:
1 day 18 hours ago
Closing Date:
Friday, April 18, 2025
Tribal Preference/Native American Preference/EEO/Smoke Free/Drug Free Workplace
Indian preference applies to all positions, but all resumes will be accepted.
Forward Completed Absentee Shawnee Tribe applications with resume to:
Absentee Shawnee Tribe
Human Resources Department
2025 South Gordon Cooper Dr.
Shawnee, OK 74801
Fax: 405-273-2710
Email: HR@astribe.com
