What are the responsibilities and job description for the Revenue Cycle Reimbursement Specialist position at the Chickasaw Nation?
Revenue Cycle Reimbursement Specialist - 16536
Ada, OK | Health | Full Time
Posted yesterday | | Apply before February 18, 2025
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Description
We are currently looking for a Full Time Revenue Cycle Reimbursement Specialist to join our Health Revenue Billing and Accounts Receivable Team team located at the Chickasaw Nation Medical Center.
Summary:
Initiates collection efforts on claims for timely payments.
Responsibilities:
- Researches missing information needed to submit a clean claim
- Traces all claims to payers to ensure that claims are being paid in a timely manner
- Follows up with insurance carriers on denied/rejected claims to work with carrier for resolution on claim
- Corresponds with third party agencies regarding billing
- Maintains confidentiality, security, and integrity of data and information in accordance with HIPAA regulations
- May require to be cross trained in multiple areas as assigned
- Provides first class customer service - courteous and helpful to all internal and external customer types
- Answers questions in a courteous and professional manner
- Partners with internal and external services as needed to ensure appropriate referral is made
- Greets and engages with a smile
- Determines needs, seeks positive experience and outcomes
- Completes all training and development requirements and participates in continuing education opportunities
- Works in a collaborative and supportive manner to support the productivity and safety of the work area, team members and customers of all types
- Maintains general upkeep of work area and maintains a safe environment
- Maintains and promotes professionalism
- Punctual and consistent in meeting start time, work schedule, attendance and other assigned work time metrics
- Adheres to Chickasaw Nation dress code standards
- Maintains knowledge of and follows all laws, rules, regulations, policies and SOPs for assigned area, e.g. MICS, TICS, hospital standards, health codes, food sanitation, accounting principles, etc.
- Performs all other duties as assigned
Competencies:
Essential:
- Able to follow instructions, both written and oral
- Able to adhere to all scheduling and attendance requirements
- Honesty, truthfulness, reliability, accountability
- Able to read, understand, apply, and retain knowledge of Chickasaw Nation, departmental, divisional and all other rules, regulations, policies, procedures and guidelines
- Possess basic knowledge of medical terminology
- Applied knowledge of medical coding and billing guidelines
- Able to verbally communicate in a professional and positive manner with other team members, departments, guests and management
- Writes effective communications with team, departments, guests and management
- Maintains clear and complete employee health records
Skills:
Essential:
- Intermediate skill using Excel for multiple purposes
- Must be familiar with the Microsoft Office Suite of products
- Must be able to operate a computer and/or other equipment related to specific role (i.e. automated currency counters, calculator, projector, binding machine, other related office equipment)
Experience:
Nonessential:
- 1 year directly related experience
Education:
Essential:
- High School, GED or Equivalent
Credentials:
Essential:
- Pass general background check
Working Conditions:
Essential:
- Works in an office setting
- Pass pre-employment drug test
- Sometimes bend, kneel, stoop, push, reach
- Constantly lift and or carry up to 10 lbs
- Sometimes lift and or carry up to 25 lbs
- Sitting up to 100% of shift
- Walking up to 25% of shift
