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Health Claims Biller I, II, or III (Non-Certified) at Cherokee Nation

Tahlequah, Oklahoma, United States -

Full Time

Start Date

Immediate

Expiry Date

01 May, 26

Salary

0.0

Posted On

31 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Billing, Claims Processing, Insurance, Data Entry, Problem Solving, Report Generation, HIPAA Compliance, Customer Service

Industry

Government Administration

Description

Overview Prepare and submit billing data for technical and professional, primary, and secondary medical claims to insurance companies. Follow up on unpaid, rejected, or denied claims. Resolve issues to resubmit claims in error. File appeals on denials when necessary. Correct patient insurance information as needed. Generate reports and process request for information. Report problems to appropriate department supervisor. Qualifications EDUCATIONAL REQUIREMENT High School diploma or general education degree (GED). EXPERIENCE REQUIREMENTS. At least six (6) months of experience in a related field. COMPUTER SKILLS An individual should have knowledge of Accounting software; Database software; Internet software; Spreadsheet software; and Word Processing software. CERTIFICATES, LICENSES, REGISTRATION Must possess a valid driver's license with a driving history verified through a motor vehicle report that meets requirements for Cherokee Nation underwriting rating. OTHER QUALIFICATIONS The employee must not be and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG's Cumulative Sanction Report, or the GSA's List of Excluded Providers, or listed on the OIG's List of Excluded Individuals/Entities (LEIE). Educated on and compliant with HIPAA regulations; maintain strict confidentiality of client information. PHYSICAL DEMANDS While performing the duties of this Job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is frequently required to reach with hands and arms and talk or hear. The employee is occasionally required to stand; walk; climb or balance and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, color vision and ability to adjust focus. WORK ENVIRONMENT The noise level in the work environment is usually moderate.

Responsibilities

Prepare and submit billing data for medical claims to insurance companies. Follow up on unpaid, rejected, or denied claims and resolve issues to resubmit claims in error.