PUYALLUP TRIBAL HEALTH AUTHORITY

JOB ANNOUNCEMENT

JOB TITLE: Billing Specialist II w/CPC

REPORTS TO: Lydia Helmholz DEPT: Patient Accounts

OPEN DATE: March 23, 2015 CLOSE DATE: Open Until Filled

GENERAL FUNCTION: Perform all data entry and clerical functions to process patient billings, insurance eligibility, claims, and payments.

ESSENTIAL JOB FUNCTIONS:

·  Accurately process heavy volume of medical, dental, mental health, chemical dependency, and pharmacy claims, in various billing systems, verifying correct insurance and current procedure and diagnostic codes have been assigned with less than 5% error during quarterly sampling.
·  Process Medicaid eligibility letters daily.
·  Post incoming payments and denials from insurance companies with a 100 % accuracy rate.
·  Research denied claims and reprocess as appropriate weekly.
·  Interpret and apply insurance eligibility and billing requirements.
·  Detailed knowledge and application of ICD-9, CPT and HCPTS coding systems.
·  Correct and re-bill any billings-coding errors and complete past due accounts reports as assigned.
·  Process aging reports assigned on a monthly basis.
·  Organize and file explanation of benefits from insurance companies monthly.
·  Research and process unbilled visit reports monthly.
·  Assist in training new staff as directed.
·  Assist in training staff on new systems as directed.
·  Identify problems with claims and provide suggestions/solutions to resolve issue.
·  Process pending charges in NextGen for Medical, Pediatrics and Wellness that do not require separate audit by Coding Staff and release processed claim to insurance for payment.
·  Act as liaison between billing and coding staff to insure proper coding and billing.

MINIMUM REQUIREMENTS (EDUCATION AND EXPERIENCE):

High school diploma or GED. Experience and/or ability to work with electronic health record systems and the following:

Billing Specialist II with Certified Professional Coder (CPC) Certification
Three years recent experience (within last four 4 years) in a medical billing department. Demonstrable oncology coding/billing experience required. Must have active CPC certification.

BENEFITS FOR THIS POSITION INCLUDE: Medical, Vision, Dental, Life and AD&D insurance, 401(k), Vacation and Sick leave, paid Holidays, Employee Assistance Plan plus much more!

“Continued on Back”

TO APPLY:

A PTHA employment application is required (resume optional). Applications are available in the Human Resource Department or on the PTHA website. Completed applications must be submitted to the Human Resource Department by 5:00 pm on the closing date. We are an Equal Opportunity Employer while practicing Native preference according to law.

PTHA - Human Resource Department

Kwawachee Counseling Center, Bldg #4, 1st Floor

2209 East 32nd Street

Tacoma, WA 98404

Phone: (253) 593-0232 ext. 516

Fax: (253) 593-3479

Email:

Website: www.eptha.com

Because of the large number of applications that may be received, not everyone who applies for a vacant position will be interviewed. Only those interviewed will receive notification when the position is filled or closed.

PTHA IS AN ALCOHOL/DRUG FREE WORKPLACE and SMOKE-FREE ENVIRONMENT