Healthcare Reimbursement Assistant

3 weeks ago

Oregon City, United States Siletz Tribal Gaming Comm Full time

Job Type

Full-time

Description

Opening Date: 05/08/2024

Closing Date: 05/22/2024

Job Title: Healthcare Reimbursement Assistant

Salary/Wage: $20.45/hr.

Tribal Level 110

Location: Siletz, OR

Classification: Full Time, Non-Exempt

Job Posting Number: 2438736

INTRODUCTION:

This trainee position is to develop an entry-level applicant into a Healthcare Reimbursement Technician. When the trainee completes the required training in medical terminology, demonstrates the ability to interpret IHS/PRC regulations, policies, and operating procedures to determine eligibility using the Code of Federal Regulations (CFR) public health law.

DUTIES:

  • Receive applications for PRC assistance.
  • Collect data and verify eligibility. Maintain accurate, up-to-date PRC cuff account records and commitments.
  • Assemble and mail PRC orientation packets and maintain individual patient files. Maintain pre-authorization logbook.
  • Distribute medical/dental authorizations, and type denial letters.
  • Maintain PRC general files. Audit claims for payment to ensure appropriateness of charges.
  • Identify alternate resources and make referrals as appropriate. Maintain billing and payment records.
  • Communicate with clients and providers on payment application procedures and processing steps.
  • Generate statistical data and samplings.
  • Maintain rapport with vendors.
  • Implement PRC funding priority guides, and independently approve payment of authorizations within such guides.
  • Assist clients in alternative resource application procedures.
  • Maintain adequate supplies and services required for the operation of the PRC program.
Requirements

REQUIREMENTS:

High School diploma or GED and one year of experience in either accounts payable/receivable bookkeeping or medical billing.

This position works closely with the Healthcare Reimbursment Technician I and II in all aspects of the position duties. This position advances to a Healthcare Reimbursment Technician Iafter two -years experience and demonstrated competencey and successfully completing a medical terminology class.

Knowledge of:
  • Office procedures and a willingness to complete a medical terminology course, preferred.
  • Word processing and/or ADP principles, preferred.
  • The rules and regulations for Purchased/Referred Care, preferred.
Able to:
  • Type, file, and use a calculator.
  • Good communication and organizational skills.
  • Work and communicate effectively with a wide variety of people and health agencies.


Salary Description

$20.48/hr.

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