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Form of workJob Description
Process IHS patient referral to outside providers, verify & ensure all referrals are through IHS physicians & referred patients are MCP eligible. Provide assistance to outside provider offices regarding MCP referrals, claims & payments. Educate MCP patients of the referral process, applying for alternate resources, answering all patient & provider questions in a considerate & timely manner. Research & process medical claims weekly for prompt payment, resolve incomplete claims, process claims for denial. Receive & research patient billing statements, by calling providers and ensuring patient insurances are billed, and request all required documents to be submitted to MCP. Maintain Patient & Medical Records confidentiality. Knowledge of Medicare, Medicaid; also familiar of the Tribes Benefit Plan, Health Comp. Familiar with The Warm Spring Community is essential. Able to utilize electronic documents filing & scanning system in daily processes, Have knowledge of CPT & ICD 10; familiar w/Medical terminology. Maintain positive professional work relationships w/ Supervisor, coworkers, patients & providers. Positive attitude & high motivation are prime importance, must have a high work ethic w/ability to work under minimal supervision, and able to accomplish other duties as assigned.
Requirements
High School Diploma or equivalent, w/ (3) years medial office experience. Medical Terminology, claims processing & highly experienced w/computers & telephone use. Proficient written & oral communication skills required. Requires reliable attendance & constructive workplace behavior. Must submit and pass a criminal background check with Federal, Tribal and State Law Enforcement.
***Cover letter of interest, and resume required with application. ***
Benefits
