Billing and Coding Specialist

Job Description

Job Description

Since 1969, MACT Health Board’s mission has been to improve the health status of the American Indian and Alaskan Native population. Our goal is to continue to provide high quality care to our patients throughout a variety of services, including Medical, Behavioral Health, Chiropractic, Dental, Optometry, Massage Therapy, Women’s Health, and more.  

Why MACT Health Care Inc?

Are you searching for a career that offers more than just a paycheck? A career where your professional skills directly empower the health and well-being of our local communities? At MACT Health Board, that’s not just an idea—it’s our daily mission and we invite you to explore our Career Opportunities. You won’t be just another employee; you’ll be a valued member of a team committed to making a difference and we know that taking care of our community starts with taking care of our own. We reward our employees with competitive compensation, benefit options and provide training and advancement opportunities to provide you with the skills to succeed in your future! Our careers offer a unique balance of philanthropic opportunities, cultural preservation and individual value! When you join MACT, you’ll enjoy:

• Medical, Dental, Vision, and life insurance benefits at no-cost to the employee
• 403(b) retirement plan, PTO including vacation, sick time, paid holidays and more
• Balanced working hours; Monday-Friday 8-5pm. 
• Student Loan Repayment Program
• Direct Student Loan Contributions: Our BenefitED program allows us to make direct quarterly contributions to your student loans to help you pay them off faster
• Continuing Education credits: We empower our providers to stay at the top of their field. We offer reimbursement for continuing education and licensure fees.
• Competitive Salary $25.56 - $30.10 hourly

Who you are:

We are seeking a detail oriented Billing and Coding Specialist for a full time role. As a member of the administrative team, the Billing and Coding Specialist ensures that all patients are registered in the patient billing and collection system in accordance with the billing and collection policy for third party resources. The Billing and Coding Specialist will:

• Serve as account representative for an assigned location
• Accurately enter data of patient, provider and payer type
• Effectively bill private insurance, Medi-cal, Medicare, crossovers, workers compensation, and private paying patients

• Precise adjudication of claims for patients; the correct administration of benefits; paying attention to adjudication problems and errors, and solving associated problems
• Post and balance payments into the Electronic Patient Management billing software system
• Responsible for the correction of monetary amounts posted incorrectly to patients’ accounts or over payments as they appear on patients’ accounts. When possible, the credit amounts are reapplied to the account; refunds are issued where necessary
• Correspond with insurance companies, third party payers, and patients, collecting information, money or settling discrepancies and filing appeals
• Analyze for completeness, prepare and enter daily charges of super bills
• Meet deadlines for processing daily billings, contact related medical departments for clarification, receiving updates on Medi-Care, Medi-Cal and related providers for compliance
• Research verification of benefits, change of guarantor, other opened encounters, etc
• Responsible for being current on any billing changes for the above agencies as assigned 

What you need:

• Have an AA Degree and/or equivalent, Have a minimum of 3 years’ experience in medical/dental billing.
• ICD-9-CM  coding knowledge or experience is preferred. 
• Knowledge of the Electronic Patient Management billing system, workflow dynamics, and modifications of the Electronic Patient Management billing software.
• Knowledge and training in the HIPAA regulations related to patient care documentation, billing process and compliance to the regulations. 
• Knowledge of State and Federal regulation as applies to billing for Medical, Dental and Behavioral Health services.
• Current Member of AAPC.

• Current BLS/ALS certificate preferred
• Must pass Occupational Health Screening.
• Must possess a valid form of identification as listed on the U.S. Department of Justice I-9 form, verified using the E Verify system.
• Clean DMV driving record and MACT auto insurance driving eligibility (determined by auto insurance carrier).

The position requires an awareness and keen appreciation of American Indian traditions, customs, and socioeconomic needs and the ability at all times to meet and deal effectively in contacts with Indian health organizations which requires tact, courtesy, discretion, resourcefulness and good judgment in handling functions of a sensitive nature .

AMERICAN INDIAN PREFERENCE: 

Preference in filling of a vacancy will be given to qualified American Indian applicants in accordance with the Preference Act (Title 25, U.S. Code, Sections 472 & 473) and Public Law 93-638, provided the applicant has submitted appropriate verification of Indian preference for employment.  Other than the aforementioned requirement, the MACT Health Board, Inc. is an Equal Opportunity Employer.

NOTICE OF DRUG-FREE WORKPLACE ACT REQUIREMENT:

MACT Health Board, Inc. is required to implement the Drug-Free Workplace Act of 1988, 45 CFR Part 79, Subpart F.  As such it is unlawful for employees to manufacture, distribute, dispense, possess, or use a controlled substance on the job site.   Employees who are reasonably suspected of violating this act may be subject to drug testing as a condition of employment.  Employer required fitness examinations shall include drug testing as evidence of employee and employer compliance with the Drug-Free Workplace Act.