Indian Health Service

  • Lac du Flambeau, WI, United States
Indian Health Service
Indian Health Service Oneida, WI, USA
Locations: Oneida, WI Type:Tribal Salary Range:Salary Negotiable Open Period:12/8/2023 until filled Summary:SALARY: $20.73/Hr. (NEGOTIABLE) Non-Exempt Duties:DUTIES AND RESPONSIBILITIES: 1. Assign specified codes to medical diagnoses and/or clinical procedures. 2. Interact with physicians and other providers regarding billing and documentation policies and procedures. 3. Analyze and interpret patient medical records to identify and determine amount and nature of billable services; assign and sequence appropriate diagnostic/procedure billing codes in compliance with requirements of third-party payer requirements. 4. Interact with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation. 5. Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices;...

Indian Health Service Phoenix, AZ, USA
Locations: Phoenix, AZ Type:Urban Salary Range:$22 to $23 / Per Hour Open Period:12/27/2023 until filled Summary:MISSION: Improving the lives of individuals and families through Native American culturally appropriate behavioral health, affordable housing, and community development services. More info about area: Duties:RESPONSIBILITIES: Duties and Responsibilities: Ensures claims are submitted timely with a goal of zero errors, to include payor and demographic information. Verifies completeness and accuracy of all claims prior to submission. Accurately posts payor and patient payments by line item with basic knowledge of payor contracts. Timely follow up and resolution on insurance claim denials, exceptions or exclusions. Identifies insurance payer denials and works with payors on resolution, to include appeal submission with appropriate documentation. Identifies billing errors and works with clinical staff on charge entry resolution. Identifies patterns of billing errors,...