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Sacaton, AZ 85147
6 Month Navigator Position – Gila River Indian Community Members Only
Compiles, processes and maintains accounts receivable records by performing the following duties personally. Responsible for ensuring that all critical tasks are fulfilled on a timely basis.
+ Prepares and submits accurate, complete and timely statements of resident charges to payers.
+ Prepares adjustments to billings for approval by management.
+ Communicates accurately, clearly and professionally with providers and payers, in writing and verbally.
+ Reviews, adjusts and processes remittance advice forms by verifying accuracy and completeness of forms to ensure timely and accurate reimbursement by third party payers of medical services rendered.
+ Communicates with third party payers regarding disputed and/or denied claims and as necessary provides copies of necessary documents to facilitate timely reimbursement of medical services charges.
+ Answers all payer inquiries on a rapid and accurate basis.
+ Accurately performs data input for services provided as well as other financial information into accounting system.
+ Receives and reviews daily, weekly and monthly production/error reports and Explanation of Benefit statements to identify errors and makes all necessary corrections.
+ Performs accurate data entry of information into patient billing system from source documents generating UB92 and/or 1500 claim forms based on service types and procedures performed.
+ Creates, edits, validates, enters, and prints all insurance claim data.
+ Performs follow up as needed to ensure reimbursement of all charges.
+ Verifies accuracy of resident charges from all sources. Verifies system information and validates encounter documentation. Collaborate with admissions staff regarding patient/resident census data.
+ Prepares and submits accurate, complete statements of resident charges to appropriate payers. Prepares adjustments to billings for approval.
+ Maintains and updates payer information system data on a timely basis.
+ Prints all accounts receivable reports and maintains all accounts receivable files.
+ Manages all receivables data on an accurate and ethical basis without loss of data.
+ Reviews patient registration information for updates and/or changes to primary and secondary insurance coverage for billing accuracy purposes.
+ Issues resident notifications of medical billing information as required, performs insurance verifications, and maintains all claim activity data.
+ Prepares analyses of accounts as required.
+ Complies with all regulatory requirements regarding patient/resident personal information.
+ Assists in monthly closings.
+ Notifies all necessary executives and authorities regarding any inappropriate activities or results regarding financial activities.
+ Assists with accounts payable subjects and activities as necessary.
+ Assists in the preparation and distribution of reports, documents and other correspondence to departments as appropriate.
+ Demonstrates ability to regularly change priorities to accomplish all tasks despite frequent interruptions.
+ Demonstrates ability to clearly communicate, both orally and in writing, while performing all essential functions.
+ Performs other special projects and duties as assigned.
+ High School diploma, with Associates Degree preferred.
+ AMBA and AAPC Certifications required with prior experience in a health care environment also required.
+ 2 to 4 years of Medicare, AHCCS and RPMS billing experience preferred.
+ ICD9 and CPT coding experience is required.
+ Demonstrated ability to relate to diverse cultures and specifically the Gila River Community and/or other Native American cultures.
+ Interest in medical subjects, patient services/care, and customer service.
+ Prior medical environment work experience is required.
Posting Title: Biller
Department: Revenue Cycle
Job ID: 2019-6240
Street: 483 West Seed Farm Road
Email Address: larredondo@GRHC.ORG