Medical Biller

About Indigenous Pact PBC, Inc

Established in 2017 Indigenous Pact PBC, Inc., a certified B-Corporation, set out on a mission to create health equity for American Indians and Alaskan Natives. As part of a global movement of certified B-Corporations, we aim to balance purpose and profit by meeting the highest social, environmental, legal, and public standards to build a more sustainable and inclusive economy.

Indigenous Pact’s dedicated, experienced, and knowledgeable team brings decades of experience working in Indian Country. We help strengthen and improve the sustainability of Tribes and Tribal Organizations' health, wellness, and long-term care programs and services. Indigenous Pact specializes in developing customized and turn-key solutions to generate sustainable revenue, increase healthcare access, and improve health outcomes for all Native Americans.

Job Description

Job Title: Medical Biller

Base Hourly Rate: $20.43

Work Model : Remote

Job Summary

The Medical Biller is responsible for timely and accurate billing of medical claims in multiple states. The Medical Biller will report to the Billing Director and will work closely with the rest of the billing and coding team . The Medical Biller has daily and monthly responsibilities in billing, reimbursement and insurance follow-up.

Essential Job Functions

To be successful this individual will need to be detail-oriented, organized, proactive, resourceful, and possess great interpersonal skills with a professional disposition.

• Demonstrates the IP Mission, Vision and Care Commitments in behaviors, practice, and decisions.

• Supports a culture that fosters teamwork, inclusion, and collaboration.

• Ensure billing and insurance follow-up are achieved within the performance standards

• Monitor accounts daily to maximize reimbursement opportunities

• Identify potential billing compliance issues

• Posting payments and remittances on a daily basis.

• Claim management – Denials, rejections, follow-up,  etc.

• Develop and  maintain a communication network with payers

• Utilize and successfully navigate all required EHR and billing systems

• Meet individual and team goals as assigned by Management

• Responsible for  accurate recording of payment from payers and reconciling any identified differences.

• Identifies discrepancies and billing issues.

• Assist on other projects and complete other duties as assigned.

Qualifications and Skills

• Minimum 1-2 years experience in healthcare billing or systems.

• Associates degree in healthcare administration , or a related field, or a combination of education and experience.

• Minimum 1 year experience working with government payers to resolve reimbursement issues is preferred.

• Knowledge of reimbursement and billing requirements and regulations.

• Knowledge of CMS, HIPAA and other governmental regulations,  rules and policies as it pertains to billing and collections.

• Proficient with various computerized applications and billing software (SAMMS, KIPU and/or RPMS preferred)

• Demonstrate values such as fostering collaboration and providing a positive, motivating environment

• Must  possess excellent customer relations and communication skills

• Professionalism, confidentiality, and organizational skills

• Ability to work well with limited supervision

• This is a remote position, but must be willing to travel on a limited basis, as needed

Why Choose Indigenous Pact?

Building a strong culture and exhibiting our core values is important to us. We have shared below characteristics that are important to us (and we hope you bring them as well) and what we offer at Indigenous Pact beyond the job opportunity!

Characteristics of Indigenous Pact Employees

• Native-Centered: Seeks to understand and effectively address the needs, challenges, and opportunities faced by American Indian Alaskan Native communities

• Quality-Focused and Accountable: Takes ownership and works in collaboration with Indigenous Pact team members in utilizing “best practices” to deliver high-quality and on-time, and follow through on commitments.

• Healthcare-focused: You have experience/exposure in the healthcare industry and an interest in advancing healthcare initiatives for those that we serve

• Trustworthy: You handle all information with the utmost confidentiality and conduct your daily activities in a professional manner with integrity.

• Resilient and Adaptable: Ability to thrive and navigate in a fast-paced environment with optimism and pivot to the changing needs of the business, while remaining focused.

• Growth Mindset: You have a belief that abilities can be developed along with a desire to be curious, learn & grow, and you share that learning with others

• Collaborative: You enjoy working cross-functionally and connecting with people toward a shared vision and goal.

• Effective Communication: You are a storyteller. You bring exceptional communication skills and can convey complex information clearly and persuasively.

• Strategic and innovative thinker: You are always looking for new ways to improve processes and drive the organization forward.

• Detail-oriented: Must have meticulous attention to detail and organized

• Self-motivated: Must be a highly motivated, self-starter with the ability to work independently

• Awareness: An ability to understand how your attitudes & actions impact others and ensure you are respectful in all your interactions

What we offer

• Competitive benefits including 401(k), Medical, Dental, and Vision insurance

• Open, transparent lines of communication with leadership

• Committed to giving back to improve our communities and environmental impact

• A development-focused environment where you have autonomy to drive your career path

Indigenous Pact is an equal opportunity employer and we are dedicated to fostering an inclusive and barrier-free work environment for all employees and candidates. We are especially interested in candidates with lived experience in, or a demonstrated history of working closely with, Indian Country and Tribal communities. All qualified individuals are encouraged to apply. If accommodation is required during any stage of the recruitment process, please contact any member of our HR team. We thank all applicants for their interest; however, only those selected for interviews will be contacted.