Essential FunctionsVerification of appropriate Current Procedural Terminology (CPTs) and modifiersEnsure the coordination of claim activities on various insurance portals and via phone to check claim status and resolve claim issuesVerifies insurance payment is in alignment with payer contract by reviewing the contract status log and EOB receivedResearch and resolve insurance denialsIdentify reason for claim rejections and complete proper action to ensure timely billingSupports leadership with daily, weekly monthly reporting needs as required and maintain third-party logsIdentifies, researches and resolves: credit balances, missing payments, payer recoupments, and unposted cash as it pertains to billing account follow-upProcesses and maintain correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of paymentHandles submission of issues to coding for review to ensure organizational and revenue cycle processes are followedCommunicates appropriately with insurance companies, patients, co-workers and supervisorsEnsures compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies and TERO ordinanceIt is the intent of this job description to highlight the essential functions of the position; however, it is not an all-inclusive list. ExperienceOne year (1) of experience in Tribal Medical Billing, Federally Qualified Health Center (FQHC) Billing, or related workPreferredAAPC, Certified Professional Coder& Biller (CPC, CPB, COC), Certified Revenue Cycle Specialist (CRCS), Certified Revenue Cycle Specialist (CRCP), Certified Revenue Integrity Professional (CRIP)Knowledge and experience working with cultural diversitiesLicense/CertificationMust have a valid Alaska State driver's license and must remain insurable under the Tribe's policy, or obtain within 90 days of hire, or, with approval of the hiring manager, sign a *Memorandum of Understanding (MOU) in lieu of having a driver's license to perform the required duties of the positionSpecial SkillsProficiency with Microsoft Suite, or obtain training within 90 days of hireConducts business in a service-oriented manner that is attentive, pleasant, respectful and kind when dealing with un'ina, visitors, co-workers and othersAbility to multi-task, work independently, and meet deadlinesThis position is a Covered Position subject to all requirements of the Alaska Barrier Crimes Act (ABCA) and to the Indian Child Protection and Family Violence Prevention Act, (ICPA).