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Medical Claims Specialist II - DOE - (Non-remote)
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Job Description
- Req#: 3097
Employer Industry: Tribal Health Services
Why consider this job opportunity:
- Comprehensive benefits package including medical, dental, and vision insurance options
- Retirement contributions with matching options after one year of employment
- Paid time off starts immediately, with accruals increasing based on years of service
- Professional development opportunities and tuition discounts for eligible dependents
- On-site child care facility and gym access
- Commitment to serving Alaska Native and American Indian populations
What to Expect (Job Responsibilities):
- Process referrals and medical/transportation claims for eligible beneficiaries
- Verify patient eligibility and review claims for accurate processing
- Assist patients and external partners with inquiries regarding claims and services
- Research and track claim status, ensuring timely resolution of outstanding claims
- Prepare month-end reports and maintain strong knowledge of claims processing systems
What is Required (Qualifications):
- Billing or coding certification and/or Associate's degree in medical billing and coding, Business, Finance, Accounting, or related field
- Minimum of two (2) years of experience in accounting, medical billing, insurance, or related areas
- Knowledge of ICD-10 and CPT coding, as well as medical insurance processes
- Familiarity with electronic medical record systems and customer service concepts
- Strong skills in grammar, spelling, and effective business communication
How to Stand Out (Preferred Qualifications):
- Progressively responsible experience in medical billing or related fields can substitute for formal education
- Experience with state, federal, and tribal health care programs
- Knowledge of alternative health resources and public/private insurance systems
#TribalHealth #MedicalBilling #HealthcareCareers #ProfessionalDevelopment #EmployeeBenefits
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