Job Details

Principal Medical Billing Specialist - Patient Financial Services - Remote or Hybrid Work Schedule

Principal Medical Billing Specialist - Patient Financial Services - Remote or Hybrid Work Schedule

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The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.

ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska's second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation's largest state.

Our vision :

ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes :

• Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.
• Cost-Share Dental and Vision Insurances
• Discounted Pet Insurance
• Retirement Contributions with Pre-Tax or Roth options into a 403(b).
• 401(a) ANTHC Retirement Plan : After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.
• Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.
• Eleven Paid Holidays
• Paid Parental Leave or miscarriage / stillbirth eligibility after six months of employment
• Basic Short / Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.
• Flexible Spending Accounts for Healthcare and Dependent Care.
• Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.
• On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.
• Employee Assistance Program with support for grief, financial counseling, mental / emotional health, and discounted legal advice.
• Tuition Discounts for you and your eligible dependents at Alaska Pacific University.
• On-Site Training Courses and Professional Development Opportunities.
• License and certification reimbursements and occupational insurance for medical staff.
• Gym Access to Alaska Pacific University includes a salt water pool, rock climbing, workout gym, and steep discounts for outdoor equipment rentals.
• Emergency Travel Assistance
• Education Assistance or Education leave eligibility
• Discount program for travel, gym memberships, amusement parks, and more.

Visit us online at www.anthc.org or contact Recruitment directly at ...@anthc.org.

Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.

Summary

Under general supervision, prepares and submits insurance claims; reviews and adjusts accounts to ensure accurate and thorough billing of claims; monitors and ensures timely payment of bills. Develops and tests new billing procedures.

Responsibilities

Develops and tests new billing procedures. Assists in implementation of new office processes.

D etermines billable claims and submits insurance claims. Tracks and monitors claim processing, resolving outstanding claims. Completes insurance data for patient claims; processes, researches and corrects accounts to verify diagnosis and authorization codes.

I dentifies liability and guarantors; reviews and adjusts account balances; interprets Explanation of Benefits (EOBs); analyzes billing components. Verifies all identified insurance carriers for eligibility; confirms carrier policy. R eviews claims before submission to insurance carrier; assesses adjudicated claims.

P osts payments and adjustments in billing databases; prepares batches for posting. Creates, organizes, corrects, updates and maintains accounts on data spreadsheets using medical billing software. Assists in decision making processes regarding data.

E nsures correct and prompt claims payments through confirmation from providers, maintaining strong knowledge of billing system software, master files and interface conversion tables.

Trains and mentors staff. Assists in monitoring of staff in training and beyond. Takes lead on special projects as assigned to assure completion. Assists in distributing workload among coworkers; provides assistance to coworkers; monitors and reviews coworkers' progress. Acts as a backup to cover multiple positions in office.

P rovides assistance to patients, carriers, and other external parties.

Performs other duties as assigned.

Other Information

KNOWLEDGE and SKILLS

• K nowledge of medical billing and accounting procedures and applications.
• K nowledge of claims review, analysis and quality assurance.
• K nowledge of commercial insurance and government reimbursement programs.
• K nowledge of basic medical terminology and clinic processes.
• K nowledge of reception, typing, computer operations, and filing.
• Sk ill in operating a personal computer using a variety of software including medical billing applications.
• S kill in tracking and accomplishing multiple tasks and assignments.
• S kill in establishing and maintaining cooperative working relationships with other employees.
• S kill in conducting successful telephone consultations and operating a multi-line office phone system.

MINIMUM EDUCATION QUALIFICATION

A n Associate's Degree in business, finance or related discipline. Progressively responsible related work experience may be substituted on a year-for-year basis for college education.

mInimum Experience Qualification

Non-supervisory - Seven (7) years of experience working in a medical office performing medical billing processes. An equivalent combination of relevant education and / or training may be substituted for experience.

Seniority level

Seniority level

Mid-Senior level

Employment type

Employment type

Part-time

Job function

Job function

Health Care Provider

Hospitals and Health Care

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