Biller-SNF-TCH-Sacaton

Position Summary: Analyzes insurance related information to properly and efficiently ensure all services provided are processed, coded, and billed appropriately. Performs vital data entry functions essential to the function of the department. Communicates effectively with the appropriate departments and personnel regarding any relevant claim information. Assists with other billing related activities as necessary.

Critical Tasks:

• Creates, edits, validates, enters, and maintains all accounts and insurance claim data, and performs follow-ups as needed.
• Prepares and submits accurate and timely statements of resident charges to payers, and, if necessary, submits adjustments to billing for approval by management.
• Receives and reviews daily, weekly and monthly production/error reports and Explanation of Benefit statements to identify errors and make all necessary corrections.
• Communicates accurately, clearly, professionally, and in a timely manner with payers and other GRHC staff.
• Performs accurate and timely data inputs/updates of patient information into the billing system from source documents and claim forms, based on service types and procedures performed.
• Maintains accurate data inputs/updates of payer information in the system.
• Manages data on an accurate and ethical basis that complies with all regulatory requirements regarding patient/resident personal information.
• Reviews and updates patient information related to primary and secondary insurance coverage to maintain billing accuracy.
• Performs other job-related activities as requested.

Required Qualifiactions:

• High School Diploma or GED required.
• 2 years of experience in medical related billing preferred.
• Understanding of coding principles such as CPT, ICD-10, and HCPCS preferred.
• Demonstrates ability to relate to diverse cultures and specifically the Gila River Community and/or other Native American cultures and community health services.