The Medical Billing Specialist submits daily Snoqualmie Behavioral Health bills, tracks and follows up on outstanding claims, receives payments and provides collection of outstanding patient debts. 

Essential Duties:

• Identify and resolve billing issues by interfacing with insurance companies and appealing denied claims as needed.
• Track and follow up on outstanding and past due patient accounts. 
• Assist patients with payment plan or determine if referral to collections agency is needed. 
• Identify and resolve patient billing complaints.
• Read and analyze patient records. 
• Determine the correct codes for patient records 
• Interact with providers to ensure accuracy and resolve documentation and/or coding issues.
• Manage complex patient accounts payable/receivable database to ensure the timely payment of patient accounts. 
• Assist daily with processing fee tickets from medical providers to maintain revenue for Health and Wellness department. 
• Accurately bill insurance companies and post payments received.
• Maintain and update patient information files, and enter data into RPMS.
• Review patient accounts for possible assignment and referral to PRC and Billing Manager for follow up.

Additional Duties:

• Assist supervisor with reports, past due research and documentation including other requests as needed.
• Assist with program planning, policy development, Medicaid outreach and referral and/or interagency coordination related to Medicaid and non-Medicaid covered services.
• Perform backup administrative duties for medical billing as assigned.
• Provide backup documentation for grants/contracts. 
• The Tribe values its commitment to community service and the well-being of its members. In recognition of this, each employee may be expected to perform duties from time to time which may not be related to their regular responsibilities.
• Other duties as assigned.

• Knowledge of basic medical coding, medical terminology, credentialing processes, and third-party operating procedures and practices required. 
• Strong problem solving skills, particularly regarding medical billing regulatory obligations. 
• Strong organizational skills and accuracy and attention to detail.
• Ability to monitor and prioritize workload and meet strict deadlines.
• Excellent customer service skills and written and verbal communication. 
• Demonstrated ability to communicate with diverse populations in a courteous, helpful, and clearly understood manner.
• Knowledge of Native cultures, history, and traditions preferred.
• Communicate with tact and discretion while maintaining a high level of confidentiality in line with HIPAA and related regulations and policies.
• Proficiency in Microsoft Office programs. Experience with RPMS preferred.
• Ability to type 50 wpm required; 10-key by touch required.

Education & Experience:

Education Required:  

• High School Diploma or GED

Experience:

• One or more years’ work experience in medical billing, coding, and collection practices (ICD-10 and CPT) required.

Certifications/Licenses:

• Certified Medical Coder preferred.

Other Requirements:

• Must be able to pass a thorough pre-employment background investigation. 
• Must agree to be subject to the Tribe's Controlled Substance and Alcohol Testing Policy to include pre-employment screening.

Tribal Preference:

The Snoqualmie Indian Tribe follows the Tribal Hiring Preference as outlined in tribal policies, including the Tribal Employment Rights Ordinance (TERO). TERO sets forth certain hiring preferences for qualified individuals who are enrolled in a federally recognized Indian tribe, as well as, in some cases, preference for certain family members of those individuals.

Additional Information:

• Hourly, compensation will be determined based on experience and starts at $24.30 per hour.
• This position is a regular full-time position and employment is at will.

Location:

• Snoqualmie, WA

Benefits:

• First of the month following date of hire - competitive medical, dental, vision, life, and disability insurance benefits for all regular full-time employees.
• After 90 days - 401k retirement plan with employer matching contributions up to 4%.
• Paid Holidays - Up to 18 paid holidays are offered every calendar year, which includes the workdays between Christmas Eve and New Year’s Day.
• Paid Time Off – Employees accrue 12+ days sick and vacation leave respectively. Increases based on years of service.

Additional Perks:

• Additional time off opportunities available including bereavement, military, parental and jury duty.
• Childcare subsidy for children enrolled full-time in the Snoqualmie Tribe Child Development Center.
• Employee discounts at Snoqualmie Casino (tickets/events, gift shop and restaurants), Salish Lodge & Spa (rooms, spa & dining) and Crescent Market (gas discount card).
• Third party perks include movie tickets, theme parks, shows and attractions & more.
• Employee assistance plans.