Under normal supervision, prepare and process eligible billing claims for travel services. Review and adjust accounts to ensure accurate and thorough processing of claims.
Responsibilities include:
- Ensure high-quality, timely completion of work, accurate data entry, efficient processes, and positive working relationships with internal and external patients/clients.
- Set up and manage billing systems according to Medicare, Medicaid, and private insurance requirements.
- Process and prepare business and government forms.
- Manage electronic claims entry and related processes.
- Investigate denied claims and edit them for resubmission.
- Perform quality assurance testing on EMR programs to ensure accurate processing and data compilation for required payers.
- Maintain timely billing and collections.
- Research billing and coding requirements for new services as directed by the Financial Operations Manager.
- Maintain knowledge of coding changes and modifiers.
- Consult with providers to resolve or clarify codes and diagnoses with conflicting, missing, or unclear information.
- Create and edit templates and codes in the EMR system as directed by providers.
- Monitor and order CPT/ICD-10 coding books for clinic staff.
- Maintain Electronic Data Interchange (EDI) systems.
- Review, prepare, and submit claims to third-party payers.
- Identify appropriate billable charges and determine primary payer when multiple payers are listed.
- Prepare monthly aging reports.
- Maintain knowledge of referral and claim processing software, master files, and interface conversion tables.
- Perform other duties as assigned.
Requirements & Qualifications
Qualifications and skills:
- High school diploma or GED equivalent.
- Three years of accounting, billing, insurance, medical claims, care office, or related experience.
- Equivalent combination of relevant education and/or training may be substituted for experience.
- Knowledge of electronic medical record systems.
- Knowledge of ICD-10 and CPT coding.
- Knowledge of medical insurance processes.
- Knowledge of customer service concepts and practice.
- Knowledge of basic medical terminology and clinic systems.
- Knowledge of the Privacy Act and HIPAA privacy rules.
- Knowledge of state, federal, and tribal health care programs.
- Knowledge of state, federal, and public/private insurance, including Medicaid and Medicare.
- Skill in working independently.
- Skill in grammar, spelling, sentence structure, and business letter writing.
- Skill in operating office equipment.
- Skill in interpreting insurance financing.
- Skill in maintaining cooperative working relationships.
- Skill in using a personal computer and software applications.
Benefits & Perks
- Medical insurance through the Federal Employee Health Benefits Program
- Dental and vision insurance
- Discounted pet insurance
- 403(b) retirement contributions
- 401(a) retirement plan with employer matching contributions
- Paid time off starting immediately
- Eleven paid holidays
- Paid parental leave
- Short- and long-term disability coverage
- Basic life and AD&D insurance
- Flexible spending accounts
- Ancillary cash benefits for accident, hospital indemnity, and critical illness
- On-site child care facility
- Employee assistance program
- Tuition discounts at Alaska Pacific University
- On-site training and professional development
- License and certification reimbursements
- Gym access and outdoor equipment discounts
- Emergency travel assistance
- Education assistance or education leave eligibility
- Discount program for travel, gym memberships, amusement parks, and more
Location
Anchorage, Alaska, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
4 weeks ago