To bill and follow-up collections for Medicare and Medicaid and other assigned insurance groups.
High School graduate; Computer literate with at least 25 wpm. Medicare/Medicaid billing and/or collecting experience preferred. Prior office experience required; Medical terminology preferred. Yup’ik speaking preferred,
Excellent customer service skills and interact in a positive manner with patients and co-workers; able to work with minimal supervision.
Able to represent BBAHC in a professional manner.
Responsible for billing Medicare and Medicaid according to current reimbursement rules for Indian Health Service.
Responsible for enrolling medical providers in Medicaid and Medicare as required for reimbursement.
Review assigned Biller queue, daily, in Meditech billing system for claims not processing for missing billing information. Make needed corrections for claim process.
Review assigned Collector queue in Meditech billing system for claims not paid or having been flagged for additional follow-up.
To review printed claims for assigned insurance for errors or programming problems. Institute work-order and any necessary research to have problem corrected.
Maintain in Medicare/Medicaid proration rules in Meditech billing system.
Assist in maintaining Meditech Dictionaries for: insurance billing; new account types; biller and collector assignments.
Able to enter charges into billing system as needed.
Responsible for late charges personally entered into billing system. Must tract and make any necessary report or recommendations to correct late charges being created.
Must cross train in other biller/collector assigned insurances for PTO coverage.
Maintain strict patient confidentiality at all times.
Research insurance/Medicare/Medicaid non-payment to include telephone, e-mail, written correspondence and/or fax to the payer/patient as needed for reimbursement (must be compliant with HIPAA regulations).