Medical Biller

Medical Biller: Indigenous Pact PBC, Inc.

Location: Remote

Job Summary:

The Medical Biller is responsible for timely and accurate billing of medical claims in multiple states. The Medical Biller will report to the Billing Manager and will work closely with the rest of the billing and coding team. The Medical Biller has daily and monthly responsibilities in billing, reimbursement and insurance follow-up.

The Medical Biller will work with both sides of the MSO team in preparation for upcoming clinics. The Medical Biller may assist the coders or assist the billers.

Essential Job Functions:

To be successful this individual will need to be detail-oriented, organized, proactive, resourceful, and possess great interpersonal skills with a professional disposition.

• Demonstrates the IP Mission, Vision and Care Commitments in behaviors, practice, and decisions.
• Supports a culture that fosters teamwork, inclusion, and collaboration.
• Ensure billing and insurance follow-up are achieved within the performance standards
• Monitor accounts daily to maximize reimbursement opportunities
• Identify potential billing compliance issues
• Posting payments and remittances on a daily basis.
• Claim management – Denials, rejections, follow-up, etc.
• Develop and maintain a communication network with payers
• Utilize and successfully navigate all required EHR and billing systems
• Meet individual and team goals as assigned by Management
• Responsible for accurate recording of payment from payers and reconciling any identified differences.
• Identifies discrepancies and billing issues.
• Assist on other projects and complete other duties as assigned.

Qualifications:

• Minimum 1-2 years experience in healthcare billing or systems.
• Professional Coding credentials are required*
• Associates degree in healthcare administration, or a related field, or a combination of education and experience.
• Minimum 1 year experience working with government payers to resolve reimbursement issues is preferred.
• Knowledge of reimbursement and billing requirements and regulations.
• Knowledge of CMS, HIPAA and other governmental regulations, rules and policies as it pertains to billing and collections.
• Proficient with various computerized applications and billing software (SAMMS, KIPU and/or RPMS preferred)
• Demonstrate values such as fostering collaboration and providing a positive, motivating environment
• Must possess excellent customer relations and communication skills
• Professionalism, confidentiality, and organizational skills
• Ability to work well with limited supervision
• This is a remote position, but must be willing to travel on a limited basis, as needed

Why Choose Indigenous Pact?

• Unlimited paid time off to cultivate personal and professional balance
• Competitive benefits including 401(k), Medical, Dental, and Vison insurance
• Open, transparent lines of communication with leadership
• Committed to giving back to improve our communities and environmental impact
• A people development focused environment where you have autonomy to drive your career path

Who you are:

• You have a Growth Mindset: A belief that abilities can be developed along with a desire to be curious, learn & grow
• You take Initiative: Solve problems by thinking & taking action on solutions rather than waiting for direction
• You take Accountability: Follow through on commitments, take ownership & ensure timeliness
• You Give Back: Leverage your knowledge & expertise to make improvements around you
• You are Resilient: Work through challenges with optimism, agility & adaptability
• You demonstrate Awareness: An ability to understand how your attitudes & actions impact others and adapt your approach accordingly

About Indigenous Pact PBC, Inc:

Established in 2017 Indigenous Pact PBC, Inc., a certified B-Corporation, set out on a mission to create health equity for American Indians and Alaskan Natives. As part of a global movement of certified B-Corporations we aim to balance purpose and profit by meeting the highest social, environmental, legal and public standards to build a more sustainable and inclusive economy.

Indigenous Pacts' dedicated, experienced and knowledgeable team brings decades of experience working in Indian Country. We help strengthen and improve the sustainability of Tribes and Tribal Organizations health, wellness, and long-term care programs and services. Indigenous Pact specializes in developing customized and turn-key solutions to generate sustainable revenue, increase healthcare access, and improve health outcomes for all Native Americans.

Characteristics of Indigenous Pact Employees:

• Native-Centered: Seeks to understand and effectively address the needs, challenges, and opportunities faced by American Indian Alaskan Native communities
• Quality-Focused: Works in collaboration with Indigenous Pact team members in utilizing "best practices" to deliver high quality, detailed orientated deliverables
• Must be highly motivated, self-starter with ability to work independently and with others.
• Must be detail orientated and organized, meticulous attention to detail is critical.
• Ability to thrive in a fast-paced environment

Preference will be given to qualified native applicants, however all qualified individuals are encouraged to apply. Must be able to provide Indian Preference documentation if claimed.