Patient Accounts Receivable Technician

Job Summary

The Patient Accounts Receivable Technician is responsible for providing accounting support for the Oyate Health Center (OHC) Business Office by accurately record, interpret, and post payments and related information received from various third-party commercial payers, Medicare and Medicaid as required. The A/R Technician will also perform a variety of business office duties to ensure the revenue cycle is complete and maximum reimbursement from all third-party insurance payers is collected. This position requires above average organizational skills, ability to plan and prioritize to meet deadlines, data entry skills, confidentiality, technical competence, and knowledge of third-party payers and its direct impact on the practice’s revenue cycle. Background in accounting.

Essential Functions

• Maintains accounts by reviewing documents to verify accounting data as necessary, entering data into the system.
• Monitor and record incoming payments.
• Verify and post receipts and resolve any discrepancies.
• Post payments to close out claims.
• Communicates denials to Supervisor and staff to ensure follow-up on claims.
• Maintains log of denied claims for further review.
• Provides information and assistance; receives and processes payments.
• Researches and resolves errors and inaccuracies.
• Must comply with federal laws and regulations as required by the Health Insurance Portability and Accountability Act (HIPAA) and the Privacy Act of 1974.
• Performs related duties.

Professional Behavior

• Effectively plan, organize workload, and schedule time to meet the demands of the position.
• Work in a cooperative and professional manner with OHC and GPTLHB staff.
• Treat Great Plains tribes and collaborators with dignity and respect.
• Utilize effective verbal and written communication skills.
• Advance personal educational development by attending training sessions and seminars as appropriate.
• Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors, and guests.
• Foster a work environment of wellness, courtesy, friendliness, helpfulness, and respect.
• Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
• Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age, sexual orientation and/or personalities.
• Maintain and ensure organizational privacy and confidentiality.
• Handle crisis and tolerate stress professionally.
• Be self-directed and take proactive initiative to assist others.
• Resolve issues with other departments and coworkers without direct supervision if needed.
• Exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
• Promote an alcohol, tobacco, and drug-free lifestyle.
• Embrace modes of appearance and attire that reflect a professional presence.
• Adhere to GPTLHB policies and procedures.
• Other duties as assigned by the Business Office Manager.

Requirements

• Participates in Core Connections training, and applies GPTLHB Core Connections concepts and practices in their work
• Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors, and guests.
• Foster a work environment of wellness, courtesy, friendliness, helpfulness, and respect.
• Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
• Familiarity and/or experience working with American Indian populations and respect for and knowledge of traditional, cultural, and spiritual practices of diverse American Indian communities, as well as an ability to work with other culturally and ethnically diverse populations.
• Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age, sexual orientation and/or personalities.
• Maintain and ensure organizational privacy and confidentiality.
• Must be able to handle crisis and tolerate stress professionally.
• Must be self-directed and take proactive initiative to assist others.
• Possess the ability to resolve issues with other departments and coworkers without direct supervision.
• Able to exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
• Ability to maintain a flexible work schedule, including evenings, weekends and overnight or extended travel as necessary.
• Ability to effectively present information in one-on-one and small group situations to community members, consumers, and other employees of the organization.
• Proficiency with computer programs (Word, Excel, PowerPoint) and other Internet technologies.
• Valid driver’s license must be kept current, and certificates, credentials or licenses must be kept current and consistent with regulations required by applicable federal, state and/or grant regulations.
• Ability to promote an alcohol-, tobacco- and drug-free lifestyle.
• Embrace modes of appearance and attire that reflect a professional presence.
• Adhere to GPTLHB policies and procedures.

Knowledge Requirements

• Knowledge of basic accounting principles to ensure accuracy of posting.
• Knowledge of the Privacy Act of 1974.
• Knowledge of computers and job-related software programs and office equipment.
• Ability to calculate/manage accounting figures.
• Ability to work with personal computer and utilize a variety of software applications email.
• Ability to maintain strict confidentiality of records and information.
• Skills in data entry, word processing and use of basic computer software programs.
• Skill in organization and maintaining accurate records and filing systems.
• Skill in providing exceptional customer service.
• Skill in prioritizing and planning.
• Skills in interpersonal relations, oral and written communication.

Supervisory Controls

The supervisor makes specific assignments that are accompanied by clear, detailed, and specific instruction. The supervisor checks completed work for compliance with procedures with instruction, accuracy, adequacy, and timeliness.

Guidelines

Guidelines include GPTLHB, OHC and department policies and procedures. These guidelines are generally clear and specific, and deviations must be authorized by the supervisor.

Contacts

Contacts are typically with GPTLHB employees. Contacts are typically to give and exchange information and provide assistance.

Work Environment/Physical Demands

The work is typically performed while sitting at a desk or table or while intermittently sitting, standing, or stooping. Work is typically performed in an office and the noise level in the work environment is usually quiet. While performing the duties of this Job, the employee is regularly required to sit; use hands and fingers to manipulate, handle, or feel; and talk or hear. The employee must regularly lift and /or move light objects. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Qualifications

1. High school diploma or equivalent.
2. Accounts Receivable experience including recording and posting payments to patient accounts.
3. Two (2) years of accounting experience to understand and perform the major duties of the position, and to be able to answer questions and resolve problems.
4. Must successfully pass a criminal and background check, and a pre-employment drug screen.

The GPTLHB is a tribal organization that follows tribal preference laws. It is our policy to give preference to qualified Indian/Tribal candidates over qualified non-native candidates in hiring decisions if all other qualifications are equal.

Employment is contingent upon the outcome of all required criminal background checks and pre-employment drug screen.