Responsible for improving charge capture, reimbursement, and the quality of the revenue cycle through support and management of revenue cycle applications, process automation, Charge Description Master (CDM), claims analysis, reporting, clinical and departmental integration, and compliance, contract payment, and denials auditing.
SEARHC is a nonprofit health consortium serving the residents of Southeast Alaska. The organization is focused on employee growth and professional advancement.
Bachelor's degree or equivalent combination of education and/or work experience required. Four years of work experience may be substituted for a bachelor's degree.
2 years of experience in revenue cycle, finance, or a clinical capacity required.
Preferred certifications or licensure include AAHAM, AAPC, AHIMA, PTCB, or other relevant professional credentials.
Knowledge of:
- End-user workflows including scheduling, registration, clinical, ancillary, coding, billing, claims processing, cash posting, and reporting
- ICD-10-CM, DSM, CPT, HCPCS, revenue codes, CARC/RARC, and NCCI
- Payer edits, rejections, rules, and resolution requirements
- Billing, accounts receivable, collections, and reporting requirements for IHS, CAH, FQHC, Provider Based, LTC, Rehab, Behavioral Health, and Retail Pharmacy enrollments
- UB-04, CMS-1500, 837I/P, 835, and NCPDP D.0 file structures and troubleshooting
- Policies and procedures governing participation in and billing for State, Federal, and Commercial programs
Skills and abilities:
- Critical thinking and troubleshooting
- Creative solution design for complex problems
- Microsoft Office, including Word and Excel
- Electronic Health Record applications
- Ability to multitask in a fast-paced environment
- Ability to work independently and collaboratively
Retirement
Paid time off
Paid parental leave
Health insurance
Dental insurance
Vision insurance
Life insurance
Long-term disability
Short-term disability
Location
Alaska, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago