VOUCHER EXAMINER

Closing Date: March 29, 2024 AT 4PM MST

Salary Range: $15.45 – $18.24/hour

**APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE**

**RESUMES AND REFERENCES ARE REQUIRED**

ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES

• Follows-up and corresponds with responsible parties in accordance to Center of Medicare & Medicaid Services (CMS) and commercial payer guidelines and requirements. Reviews delinquent patient accounts, following up with responsible parties via telephone and correspondence according to organization policy and procedures.
• Identifies errors, omissions, duplications in documentation and works with other departments for resolutions.
• Reviews patient accounts to determine the status of the account and ensures all efforts have been maximized and exhausted prior to adjustment process.
• Reviews all Explanation of Benefits (EOB) and correspondences from third party payers to identify discrepancies for appropriate follow-up or adjustments.
• Updates and maintains all changes in payer processes, requirements and guidelines through self-education.
• Meets daily productivity benchmark that is set by the Accounts Receivable Manager. This would include any changes based upon necessity.
• Upholds internal relationships with other areas of Revenue Cycle Management such as; Patient Registration, Health Information Management, Coding, Patient Accounts and Accounts Receivable.
• Examines accounts for accuracy and provides adequate documentation to payers within compliance of regulations for justification of all services rendered for medical treatment to process claims for adjudication or reimbursement.
• Employee may be scheduled various shift and holidays
• Other duties as assigned.

MANDATORY MINIMUM QUALIFICATIONS:

Experience: Two (2) years’ experience in a healthcare setting in any of the following areas:

Patient Registration

Coding

Billing

Collections

Education: High School Diploma or Equivalency (HSE)

Please email degree or transcripts to trent.begay@fdihb.org

NAVAJO/INDIAN PREFERENCE:

FDIHB and its facilities are located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who meet the minimum qualifications for this position and who are enrolled members of the Navajo Nation will be given primary preference in hiring and employment for this position and members of other federally recognized Indian tribes will be given secondary preference. Other candidates will be considered only after all candidates entitled to primary or secondary preference have been fully considered.