ACCOUNTING TECHNICIAN - Haskell - IHS

JOB SUMMARY: Provide accounting technician services for the Haskell Indian Health Center, KS Business Office as a Health System Specialist.

PRIMARY DUTIES:

• Provide Maintain accounts by reviewing documents to verify accounting data as necessary, entering data into the system.
• Performs work consisting of examination for accuracy of claims and other request for payment of (1) services provided by the Government; (2) reimbursement of expenditures made by beneficiaries and non-beneficiaries for such purposes as medical care and treatment.
• Maintain the automated accounts receivable ledger associated with third party payer claims; responsible for associated records and documentation.
• Prepares weekly, monthly, quarterly and annual reconciliation and recapitulation of third party billing to assure that collections, billed data, and the computerized and manual reports are in balance.
• Reviews and examines various bill types, of patient care to third party payers and performs third party collection posting to the automated account receivable program.
• Reviews and downloads all electronic remittances from the Service Unit PNC Bank Lockbox on a daily basis to ensure constant monitoring of the PNC Lockbox.
• Responsible for the posting of all contractual/adjustments related to and in conjunction with posting of payments in accordance with health center policy and procedures.
• Audit all documents received for completeness and accuracy; analyze and select guide to determine whether payments are full or partial in accordance with health center policy and procedures; whether they are timely; and whether remittance are advances, installments, or supplements.
• Maintains current documentation and guidelines pertaining to reimbursement activities in appropriate files, binders, etc., and ensures preparation and distribution of copies to all appropriate disciplines.
• Electronically exports and maintains all information and files for the service unit debt collection process.
• Incumbent safeguards the contents of the alternate resources program health insurance claims as privileged communication which disclosure of information only within the limits of IHS policy.
• Completes special projects within required time frame to ensure compatibility of project specifications.
• Verify the accuracy of payment history for the period involved, determines the extent of underpayment or overpayment, if any; responsible for assisting in the timely resolution of unidentified cash received by the health center according to health center policy and procedures.
• Responsible for the accurate and timely preparation and submission of outpatient claims to third party payers, intermediaries, and responsible parties according to established clinic policy and procedures.
• Reviews system generated reports daily to identify claims that are ready for billing. Prepare and submit claims to third party payers, intermediaries or responsible parties within the allowed period of the Third Party Internal Controls Policy for outpatient claims.
• Responds to third party requirements on post-payment reviews, exclusions, denials, and appeals. Actively performs audits and medical reviews to ensure documentation and accountability on all health insurance claims submitted for payment by conducting random sample reviews of claims and medical records.
• Notifies supervisor of all claims deemed unbillable, along with reason(s) on a daily basis. Submits a daily billing Productivity Report, to supervisor, reflecting beginning inventory, claims billed and remaining balance at end of shift. All claims awaiting export are mailed or transmitted within one business day from approval. Generates and verifies that all electronic transmits are HIPPA compliant. On a daily basis, electronic transmission and confirmation reports are reconciled and errors corrected.
• Responsible for self-education by reading third party list servers, newsletters, periodicals, e-mails and updates circulated by management. Attends all continuing education opportunities made available.

EDUCATION/CERTIFICATION:

• Background check required.

SECURITY CLEARANCE:

• Public Trust

ABOUT US: At MCSG Technologies, we believe the path to success begins by empowering our employees to do what is best for our customers. This helps create value for our customers and business partners through efficiencies and cost-effective relationships that are built on trust, while delivering on-time and within budget. Our company ethos is simple Empowered to serve our customers, our communities, our colleagues. If you would like to learn more, please visit our website at www.mcsgtech.com or find us on Glassdoor.

BENEFITS OFFERED: Medical, dental, vision, life insurance, short-term disability, long-term disability, 401(k) match, flexible spending accounts, EAP, parental leave, paid time off, holidays and more. Learn more about MCSG Technologies benefits: https://www.mcsgtech.com/benefits/.

COLORADO'S EQUAL PAY ACT: In compliance with Colorados Equal Pay for Equal Work Act; MCSG Technologies considers several factors when extending an offer, including but not limited to, the role and associated responsibilities, a candidate's work experience, education/training, and key skills.

EOE STATEMENT: We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, disability status, protected veteran status or any other characteristic protected by law.

EXECUTIVE ORDER 14042 ENSURING ADEQUATE COVID-10 SAFETY PROTOCOLS: The United States government may require that all employees, plus all contract employees performing services on behalf of the federal government, be fully vaccinated against COVID-19. In accordance with EO 14042, MCSG Technologies may require that all employees with MCSG Technologies be fully vaccinated against COVID-19.