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:
- Ensuring high-quality, timely completion of work, accurate data entry, efficient processes, and positive working relationships with internal and external patients/clients
- Setting up and managing billing systems according to Medicare, Medicaid, and private insurance requirements
- Processing and preparing business and government forms
- Managing all electronic claims entry and processing
- Investigating denied claims and edits for resubmission
- Performing quality assurance testing on EMR programs to ensure accurate processing and compilation of data for required payers
- Maintaining timely billing and collections and monitoring accounts receivable aging
- Researching billing and coding requirements for new services
- Maintaining working knowledge of coding updates and modifiers
- Consulting with providers to clarify codes and diagnoses with conflicting, missing, or unclear information
- Creating and editing templates and codes in the EMR system as directed by providers
- Monitoring and ordering CPT/ICD-10 coding books for clinic staff
- Maintaining electronic data interchange (EDI) systems
- Reviewing, preparing, and submitting claims to third-party payers
- Identifying billable charges and determining the primary payer when multiple payers are listed
- Preparing monthly aging reports
- Maintaining knowledge of referral and claim processing software, master files, and interface conversion tables
Requirements & Qualifications
Qualifications
- Associate's degree in Business, Finance, Accounting, or a related field
- Progressively responsible accounting technician, medical billing, or related work experience may substitute for college education on a year-for-year basis
- Four years of accounting, billing, insurance, medical claims, or related experience
- Equivalent combination of relevant education and/or training may be substituted for experience
Knowledge and skills
- Knowledge of electronic medical record systems
- Knowledge of ICD-10 and CPT coding
- Knowledge of medical insurance processes
- Knowledge of basic medical terminology and clinic systems
- Knowledge of HIPAA and privacy requirements
- Knowledge of state, federal, tribal, and public/private insurance programs including Medicaid and Medicare
- Ability to work independently
- Strong grammar, spelling, sentence structure, and business writing skills
- Ability to operate office equipment and personal computer software
- Ability to interpret insurance financing and maintain cooperative working relationships
Benefits & Perks
Benefits package
- Medical insurance through the Federal Employee Health Benefits Program
- Dental and vision insurance
- Discounted pet insurance
- Retirement contributions with pre-tax or Roth options into a 403(b)
- 401(a) retirement plan with matching contributions up to 5% after one year, plus possible discretionary employer contribution up to 3%
- Paid time off starting immediately
- Eleven paid holidays
- Paid parental leave eligibility
- Short-term and long-term disability coverage
- AD&D and basic life insurance
- Flexible spending accounts for healthcare and dependent care
- Ancillary cash benefits for accident, hospital indemnity, and critical illness
- On-site child care facility
- Employee assistance program
- On-site training courses and professional development opportunities
- License and certification reimbursements
- 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
Intermediate Level
Remote work allowed
Yes
Posted
3 weeks ago