Alaska Native Tribal Health Consortium.

  • Anchorage, AK


  • Irreversible.

  • Full-time.

Under basic guidance, prepares and sends insurance coverage claims; evaluations and changes accounts to make sure precise and comprehensive billing of claims; screens and guarantees prompt payment of costs. Develops and tests brand-new billing treatments.

Establishes and checks brand-new billing treatments. Assists in execution of brand-new workplace procedures.

Identifies billable claims and sends insurance coverage claims. Tracks and keeps an eye on claim processing, solving exceptional claims. Finishes insurance coverage information for client claims; procedures, looks into and remedies accounts to validate medical diagnosis and permission codes.

Recognizes liability and guarantors; evaluations and changes account balances; analyzes Description of Advantages (EOBs); evaluates billing elements.

Validates all recognized insurance coverage providers for eligibility; validates provider policy. Evaluations claims prior to submission to insurance coverage provider; evaluates adjudicated claims.

Posts payments and modifications in billing databases; prepares batches for publishing. Develops, arranges, fixes, updates and preserves accounts on information spreadsheets utilizing medical billing software application. Assists in choice making procedures relating to information.

Makes sure proper and timely claims payments through verification from suppliers, keeping strong understanding of billing system software application, master files and user interface conversion tables.

Trains and coaches personnel. Assists in tracking of personnel in training and beyond. Takes lead on unique jobs as appointed to ensure conclusion. Assists in dispersing work amongst colleagues; supplies support to colleagues; screens and evaluations colleagues” development. Function as a backup to cover numerous positions in workplace.

Offers help to clients, providers, and other external celebrations. Needed Abilities

– Understanding of medical billing and accounting treatments and applications.

– Understanding of claims evaluation, analysis and quality control.

– Understanding of business insurance coverage and federal government compensation programs.

– Understanding of standard medical terms and center procedures.

– Understanding of reception, typing, computer system operations, and filing.

– Ability in running a desktop computer utilizing a range of software application consisting of medical billing applications.

– Ability in tracking and achieving several jobs and tasks.

– Ability in developing and preserving cooperative working relationships with other workers.

– Ability in performing effective telephone assessments and running a multi-line workplace phone system. Needed Experience

An Associate” s Degree in service, financing or associated discipline. Gradually accountable associated work experience might be replaced on a year-for-year basis for college education.

Non-supervisory – 7 (7) years of experience working in a medical workplace carrying out medical billing procedures. A comparable mix of pertinent education and/or training might be replacemented for experience.

This position needs the capability to sit for extended periods of time. ANMC is not a latex complimentary environment. Some latex direct exposure can be anticipated.

Task Area Anchorage, Alaska, United States Position Type Full-Time/Regular.

Alaska Native Tribal Health Consortium.

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