Little Axe Health Center / 15951 Little Axe Dr. / Norman, OK 73026
This position is located at the AST Li Si Wi Nwi Health Clinic in Little Axe, OK. The purpose of the position is to function as Accounts Receivable Specialist for the Health Business Office. Is responsible for accounts receivable (A/R) collections for all Health departments.
Post payments and adjustments in billing software using the Explanation of Benefits (EOBs) and Remittance Advice (RA) as reference document.
Verifies, and audits updated financial transactions.
Respond to correspondence received from insurance carriers or patients
Manage/Reconciled denied claims appropriately and file appeals if needed.
Make outbound calls to insurance companies to research and gather necessary information for successful claim resolution
Back up for retrieving mail daily
Make appropriate decisions on accounts to be worked to maximize reimbursement.
Identify any problems/trends and communicate them to the direct supervisor for resolution.
Must be able to communicate procedures for processing changes that may increase revenue from insurance carriers.
Provides requested information as assigned, creates or generates related reports or locate and pull requested information for drafts or documentation.
Gathers all paper checks to be deposited.
Enters data monthly in accounting software.
Other duties as assigned
Education Requirements and Qualifications
Education: High School Diploma / Some College Preferred
1-3 years of previous medical billing/coding experience within a healthcare environment
Ability to produce detailed work accurately and efficiently
Excellent organizational skills
Analytical and problem-solving skills
Outbound phone experience
Basic computer skills
Intermediate web navigation skills
Experience writing correspondence
Knowledge of ICD-10 & CPT coding
Knowledge of claim denials, adjustments, and write-offs
Knowledge of collection procedures
Knowledge of various payer groups (Medicaid, Medicare, Private insurance)
Physical Requirements and Working Conditions
Must be able to sit, stand, stoop, bend or kneel for long periods of time.
Sitting or standing or walking for long period of time; occasional bending, squatting, kneeling, stooping; good finger dexterity and feeling; frequent repetitive motions; talking hearing and visual acuity.
Frequent lifting (up to 15 lbs)
Occasional lifting (up to 30 lbs)
Native American Preference/EEO/Drug Free Workplace
1 year 3 months ago
Tribal Preference/Native American Preference/EEO/Smoke Free/Drug Free Workplace Indian preference applies to all positions, but all resumes will be accepted.
Forward Completed Absentee Shawnee Tribe applications with resume to: Absentee Shawnee Tribe Human Resources Department 2025 South Gordon Cooper Dr. Shawnee, OK 74801 Fax: 405-273-2710 Email: HR@astribe.com