Health System Specialist

Confederated Tribes Of Warm Springs

Job Location:

Warm Springs, OR - USA

Monthly Salary: $ 35431 - 40312

Posted on: 4 hours ago

Vacancies: 1 Vacancy

Job Summary

Process IHS patient referral to outside providers verify & ensure all referrals are through IHS physicians & referred patients are MCP eligible. Provide assistance to outside provider offices regarding MCP referrals claims & payments. Educate MCP patients of the referral process applying for alternate resources answering all patient & provider questions in a considerate & timely manner. Research & process medical claims weekly for prompt payment resolve incomplete claims process claims for denial. Receive & research patient billing statements by calling providers and ensuring patient insurances are billed and request all required documents to be submitted to MCP. Maintain Patient & Medical Records confidentiality. Knowledge of Medicare Medicaid; also familiar of the Tribes Benefit Plan Health Comp. Familiar with The Warm Spring Community is essential. Able to utilize electronic documents filing & scanning system in daily processes Have knowledge of CPT & ICD 10; familiar w/Medical terminology. Maintain positive professional work relationships w/ Supervisor coworkers patients & providers. Positive attitude & high motivation are prime importance must have a high work ethic w/ability to work under minimal supervision and able to accomplish other duties as assigned.

Requirements

High School Diploma or equivalent w/ (3) years medial office experience. Medical Terminology claims processing & highly experienced w/computers & telephone use. Proficient written & oral communication skills required. Requires reliable attendance & constructive workplace behavior. Must submit and pass a criminal background check with Federal Tribal and State Law Enforcement.

Benefits

Benefits include: Excellent medical insurance with low annual maximum-out-of-pocket costs plus vision and dental. Available flex spending plan for daycare and medical costs. Also available are numerous supplemental insurance packages. 401(k) and or ROTH retirement with up to 5% employer matching after one year of employment. Eleven days of paid holidays and Personal time off (PTO) accruing at 130 hours annually with increases after three years of continuous service.

Required Skills: