OVERVIEW: Lower Elwha Klallam Tribe ʔɬxòʷə nəxʷsƛ̕ay̕ əm ”Strong People” 2851 Lower Elwha Road Tel: (360) 452-8471 Port Angeles, WA 98363 Fax: (360) 452-3428 LOWER ELWHA KLALLAM TRIBE Job Description Behavior Health Data Entry/Billing Support Clerk Overview: OVERVIEW: This position will assist and augment the efforts of the Lead Billing & Collections Specialist in all daily functions for the billing program. High emphasis is placed on coding, data entry into RPMS and all other billing modules that will result in completion and tracking of multiple and various types of billable claims to Medicaid, State Industrial, and Private Insurers of all types. Our goal is to maximize 3rd party billing and reimbursement for both Electronic and on Paper billing. This position will also assist in heavy, courteous phone contact with insurance companies and patients/clients as part of the collections process. Work Location: Lower Elwha Health Clinic Supervised by: Data/Billing Manager Position Status: Full Time, 40 Hrs. /wk. Salary Level: Level 10-11 Step A - F Work Schedule: Monday – Friday, 8 a.m. to 4:30 p.m. ESSENTIAL FUNCTIONS OF THE JOB: - Performs basic coding, data entry, and claims production for all types of billing entities for Behavioral Health (Chemical Dependency and Mental Health)
- Entry of all medical information from the medical patient encounter forms/Electronic Health Record for the purpose of billing all services
- Input claims into ProviderOne by Direct Data Entry (DDE), and all others via tribal clinic electronic or paper claims submissions
- Enters data into the DBHR Target Data System for Chemical Dependency transactions
- Provides support for the Behavioral Lead Biller
- Daily retrieval and use of billing and coding information from patient records as needed
- Demonstrate and develop proficiencies in the use of Behavior Health and Medical Terminology
- Work with Data Entry Specialist on accuracy and quality control
- Assist in developing reports as needed
- Engage in paperwork completion as needed for completion of applications, forms, and delivery of documents
- Provide explanations of insurance benefits and regulations to patients
- Compliance with confidentiality policies
- Organize and maintain an efficient filing system
- Other duties as assigned to support revenue recovery
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