Auditors

Job Posting

Pay Range: $24hr - $35hr

Job Responsibilities:

• Determine appropriate routing for reimbursement of AIHP medical providers.
• Process AIHP Nation pharmacy and vision memberships.
• Support accounts/payable process (key vouchers for AIHP/OHEHR).
• Provide administrative support (minutes, field calls from claims hotline) to AIHP contractors.
• Assist in preparation of periodic reports and analysis.
• Assist in the implementation and maintenance of policies and procedures related to control and processing of payment requests.
• Manage the Unit's workflow, troubleshoot and report to supervisor when necessary.
• Respond to inquiries from providers and Nation billing clerks.

Skills Required:

• General/Basic Understanding of the medical claims submission process, which includes analyzing Explanation of Benefits (EOB) forms to interpret payment information, ability to read and interpret Medicaid billing schedules and policies, as well as Current Procedural Terminology (CPTs) and Healthcare Common Procedural Coding System (HCPCS).
• General knowledge of automated accounting systems.
• Ability to analyze data and apply basic Generally Accepted Accounting Principles (GAAP) when necessary.
• Proficiency in Microsoft Excel and Word programs.
• Good written and oral communication skills, as well as good organizational skills.

Preferred Skills:

• 2+ years work experience as a Medical Coder, Billing Specialist, or equivalent.