Medical Biller/Coder Senior (Ds-24743)

CLOSING DATE:          Open Until Filled

POSITION:                    Medical Biller/Coder - Medical Biller/Coder Senior

SALARY:                       $19.81 - 22.96 / hour DOE | Senior $20.62 - 23.90 / hour DOE

REPORTS TO:              Revenue Cycle Manager

LOCATION:                   Nespelem, WA

Basic Functions:         Responsible for the accurate preparation and submission of claims to third party payers. Responsible for the accurate and timely performance of medical billing functions. Communicate with clients and Providers regarding insurance questions, partnering with them to ensure accurate insurance information is received. Verify and communicate insurance benefit information to all new clients. Complete daily reports for insurance verification, claims submission, insurance billing and research. 

Education and Training: 

• The position requires an Associate's degree or Certificate from Medical Billing and Coding course of one year or longer (Transcript Required) with coursework in bookkeeping or accounting and computer-aided applications, and/or 2 years of work experience in medical billing involving Medicare, Medicaid and Third Party payers with FQHC, IHS or Tribal programs specifically related to Accounts receivable management.

Knowledge, Skills, and Abilities:

• Requires working knowledge of the practices and terminology of bookkeeping, medical billing, and accounting data entry practices, accounting office clerical procedures and methods for maintaining source documentation files. 
• Requires Working knowledge of medical billing code sets including ICD-10, CPT and HCPCS. Requires knowledge of the scope of medical codes used by the Tribe. 
• Requires knowledge of cashiering, including knowledge of individual account cash control, receipt, disbursement, and allocations of funds. 
• Requires well-developed computer skills, sufficient to use common office productivity software, specialized software for revenue accounting, spreadsheets, and databases. 
• Requires in-depth knowledge of financial transaction ordinances, policies, and procedures governing cash receipts, adjustments, and disbursements.
• Requires sufficient writing skills to prepare basic business correspondence, pre-formatted reports, and account footnotes. 
• Requires sufficient math skills to compute sums, quotients, products, ratios, percents, and portions.
• Requires sufficient human relation skills to convey procedural information to others, train staff, and to deal effectively and positively with others on financial transactions.
• Requires work experience demonstrating the ability to multitask and follow through to completion. 
• Requires work experience demonstrating the ability to meet strict deadlines while maintaining data integrity. 
• Requires work experience involving strict confidentiality requirements. 
• Requires the ability to learn or current working knowledge of Tribal reimbursement standards.
• Requires the ability to be detail oriented.
• Requires the ability to learn current Third Party billing regulations, policies and procedures including the use of modifiers.
• Requires the ability to communicate effectively both verbally and in writing. Requires the ability to interact cooperatively and professionally with others.
• Requires the ability to analyze and effectively solve problems.
• Requires the ability to maintain a complete set of records and reports consistent with defined requirements. 
• Requires the ability to interact with a wide range of contacts with courtesy and patience.
• Requires the ability to maintain the confidentiality of customer records and information. 
• Requires the ability to perform all of the clerical and record keeping duties of the position including operation of computer software programs designed for medical billing customer-focused accounting.  
• Requires the ability to work as contributing member of a team, work productively and cooperatively with other teams and external customers, and convey a positive image of the Tribe and its services. 
• Requires the ability to work collaboratively with difficult customers. 
• Requires the ability to function primarily indoors in an office environment engaged in work of primarily a sedentary nature.
• Requires ambulatory ability to retrieve files and stand at a counter for customer service transactions. 
• Requires sufficient hand-eye-arm coordination to use a keyboard and 10-key, arm/hand movements to retrieve work materials from storage files, and operate a variety of general office equipment. 
• Requires visual acuity to read computer screens, printed material, and detailed accounting information. 
• Requires auditory ability to carry on conversations over the phone and in person. Must be able to demonstrate above average work attendance and work ethic.

Special Conditions

This position is identified as a Safety Sensitive position and subject to pre-employment, post-accident, random and reasonable suspicion drug testing. Must pass an extensive background clearance and maintain clearance throughout employment.  Must have no history of substance abuse of a period of two (2) years prior to time of employment and must refrain from the use of illicit substances or prescription medications not prescribed by a health care provider during the term of employment.  COVID-19 vaccination required.   Tribal member and Indian preference will apply. Preference will also be given to honorably discharged Veterans who are minimally qualified. 

Note: Pursuant to Tribal Policy, if this position is safety sensitive it is subject to pre-employment drug testing. In addition, this position is subject to reasonable suspicion and post-accident drug testing.

TRIBAL MEMBER AND INDIAN PREFERENCE WILL APPLY; PREFERENCE WILL ALSO BE GIVEN TO HONORABLY DISCHARGED VETERANS WHO ARE MINIMALLY QUALIFIED.

If required of this position, you must possess and maintain a valid Washington State driver’s license and be eligible for the Tribes’ Vehicle Insurance.  In addition, this position may be subject to pre-employment background clearances.  If applicable, these clearances must be maintained throughout employment.

INFORMATION:  Diane Stensgar, HR Technician Senior, Confederated Tribes of the Colville Reservation, Human Resources Office, P.O. Box 150, Nespelem, WA 99155, (509) 634-2296 diane.stensgar.hrs@colvilletribes.com