Billing - Redding Rancheria

Accountant II- Health Clinic Specialist

***This position is open through Friday, October 18,2024***

The Redding Rancheria is seeking an Accountant II- Health Clinic Specialist. The preferred schedule for this position is Monday – Friday 8 am to 5 pm.

JOB SUMMARY:

Directly responsible for the daily reconciliations and preparation of reporting for all clinic facilities for Medical Self Insurance, Medi-Cal and Medicare. Submits prepared reconciliations and reporting for final review to Director of Financial Services and works closely with the billing department to ensure that Third Party collections are maximized. Assists as needed with coverage and overall support within the entire billing department.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

Bachelor degree in accounting or at least five years of experience in similar accounting positions.
Must pass pre-employment drug screening.
Indian preference.

ESSENTIAL JOB DUTIES:

Month End reconciliation of Third Party Collections.
Monitor and reconcile Nextgen entries.
Analyze financial information and Third Party transactions for accuracy.
Assists in the year end reconciliation, audit and tasks as requested by Finance Management.
Manages daily credit card processing, including gathering documentation for Third Party transactions.
Work with Finance on credit card payments for credentialing.
Processes TPA claims, insurance claim cash withdrawals, administrative billing and RX payments.
Reconciles balance sheet assets and liability accounts.
Assist in CHEF preparation and the reconciliation process.
Assists as needed for backup of CHEF filing process.
Preparation for review of annual Medi-Cal Reconciliation reports per facility.
Preparation for review of annual Medicare cost reports per facility.
Complete quarterly Medicare Credit Balance reports for review.
Assists with McKesson and Henry Shein purchase orders, packing slips and invoices.
Maintain sub ledgers of all self-insurance accounts for audit back-up.
Ensure proper accounting in accordance with the established policies and procedures.
Processes and prepares incoming checks reconciliation, posting and recording deposits for final review.
Responsible for coordination and development of any projects or events for the health facilities that involve financial transactions and tracking.
Perform other duties as assigned by the Director of Financial Health Services.

Perform other duties as assigned by the Director of Financial Health Services.

A completed Redding Rancheria job application must be submitted in order to be considered for employment. You can fill out an application online at www.reddingrancheria-nsn.gov, please fax (530-242-4563) or email (employment@reddingrancheria-nsn.gov).

All certifications, credentials/ licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

Any offer of employment is conditioned upon the successful completion of a pre-employment drug screen and criminal background screening clearance. All employees are required to submit to a Tuberculosis test (TB) test after they are hired in addition to being tested annually.

Additional Information:

In addition, Redding Rancheria offers an excellent benefit package containing Medical, Dental, Vision, Life Insurance and Short/Long Term disability, paid holidays, vacation and sick leave as well as a generous 401(k) retirement plan.

Redding Rancheria is a federally recognized Tribe with Pit River, Wintu and Yana people where pride in Tribal culture, history and identity is evident internally and in the larger community. Redding Rancheria is a leader in the constructive development of its people, the larger Indian community and the Redding region.

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Accountant I – Accounts Payable Specialist

***This position is open through Friday, August 18th, 2023.***

The Redding Rancheria is seeking an Accountant I – Accounts Payable Specialist.

JOB SUMMARY:

Under the supervision of the Controller this position performs a variety of accounting support functions for the Redding Rancheria Tribal Government Finance Department. Directly responsible for the timely and accurate processing of all account payable invoices, reviewing invoices and requisitions for accuracy and within policy and procedures. Interacts with staff, Tribal Members, and vendors on a daily basis for the Redding Rancheria and serves as the primary backup to the Accountant I-Purchasing Specialist.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

•2 year degree in accounting or a minimum of 5 years of experience in similar accounting positions.
•Must pass pre-employment drug screening.
•Indian preference.

ESSENTIAL JOB FUNCTIONS:

Perform any of the following accounting tasks: accounts payable, purchasing and procurement.
Follows up with Managers on unapproved invoices and/or errors to avoid late payments.
Reviews vendor contracts and follows payment guidelines.
Responsible for contacting vendors for missing invoices and correcting errors.
Works with Purchasing Specialist to provide missing information, including receiving documents as needed.
Manages, reconciles, and processes account and credit card orders for goods and services through phone, email, and internet order as requested by receipt of approved purchase order
Reconciles Purchasing credit card monthly.
Monitors, responds, and takes action on communication emailed to ap@reddingrancheria-nsn.gov and purchasing@reddingrancheria-nsn.gov in Purchasing Specialist absence.
Date stamps and reviews all purchase orders and attached invoices for completion, including appropriate account coding, proper signing authority, and dollar amount approved for the Redding Rancheria in the absence of Purchasing Specialist.
Researches and/or obtains best pricing for products requested on purchase orders in the absence of Purchasing Specialist.
Works with purchase order requester to ensure appropriate items, quantities, and shipment terms are met in absence of Purchasing Specialist.
Maintains credit card checking out process and pre-paid voucher files in the absence of Purchasing Specialist.
Reviews voucher cover sheet by checking vendor, coding, amount, accounting period, 1099 details, remit address, and payment terms to be sure all information is accurately recorded. Makes corrections as needed.
Maintains general office supply inventory and performs monthly inventory of supplies on hand.
Assist with all Departmental needs in reference to filing and scanning documents.
Compile and sort documentation.
Verify and prepare working papers to support the details of business transactions.
Ensure proper accounting in accordance with the established policies and procedures.
Perform accurate and timely processing.
Communicate with others in the department.
Apply analytical skills and maintain organization.
Proficiency with various office equipment and applications.
Support other functions within the department as needed.
Manage confidential information in a secure, discreet and professional manner.

All certifications, credentials/ licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

To minimize the spread of COVID-19, the Redding Rancheria will require all healthcare employees to report their vaccination status and be fully vaccinated against COVID-19. Any healthcare employees with medical conditions or sincerely held religious beliefs that prevent them from taking the vaccine may be entitled to an exemption.

Additional Information:

We offer a competitive salary as well as having a work schedule running Monday through Friday. In addition, Redding Rancheria offers an excellent benefit package containing Medical, Dental, Vision, Life Insurance and Short/Long Term disability, paid holidays, vacation and sick leave as well as a generous 401(k) retirement plan.

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Certified Professional Coder/Biller

***This position is open through Friday, May 5th, 2023***

The Redding Rancheria is seeking a Certified Professional Coder/Biller.

JOB SUMMARY:

Perform all coding relating to Medical, Dental and accounts receivable. Coding for diagnosis, procedures and services performed by providers of the clinic. Audit for accuracy of billing for all 3rd Party Payers, Medi-Cal (including Medi-cal, Share of Cost) Medicare and Private Insurance meeting all payer, state and federal regulations.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

Must have current experience in Medical and/or Dental.
Certified Professional Coder
BS in Health Care Administration or equivalent years Coding/Billing experience
Must pass pre-employment drug screening.
Indian preference.

ESSENTIAL JOB FUNCTIONS:

Ensure coding, insurance and Alternate Resource Information is complete, current and determine eligibility.
Read patient chart notes to verify correct CPT and/or CDT codes and ICD10 diagnosis codes.
Communicate with providers to ensure timely completion of charting.
Set claims to bill and communicate with RCM to ensure timely uploading of claim files to the clearinghouse.
Assist Billing Manager and IT in monitoring fee schedules and recommend revisions when necessary.
Audit Electronic Health Record (EHR) or Electronic Dental Records (EDR) for appropriate supporting documentation and medical necessity of documentation compared to charges.
Determine accurate codes for diagnosis, procedures and services performed by Physicians and recognized non physician providers in a physician-based setting. (These services may include evaluation and management services as well as reviewing operative notes).
Keep current with medical compliance and reimbursement policies, such as medical necessity issues and correct coding issues.
Providing physicians and staff with up-to-date coding information from reliable, accurate sources, such as specific payers, the AMA, AHA, ADA’s Coding Clinics and CMS.
Communicate with admissions to ensure insurance and demographic information is correct.
Communicate with Quality team to ensure documentation is meeting quality measures.
Complete follow-up tasks of unpaid claims and research denials.
Research proposed new procedures for coding and billing requirements as well as FQHC rulesand regulations, update staff on findings.
Run aging reports for all insurance categories, including no insurance, to ensure properpayments and RCM write offs.

All certifications, credentials/ licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. Certification of Native American heritage needs to be attached to the job application.

Additional Information:

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Certified Professional Coder/ Biller

***This position will be Open Until Filled***

Perform all coding relating to Medical, Dental and accounts receivable. Coding for diagnosis, procedures and services performed by providers of the clinic. Audit for accuracy of billing for all 3^rd Party Payers, Medi-Cal (including Medi-cal, Share of Cost) Medicare and Private Insurance meeting all payer, state and federal regulations.

Requirements/Minimum Qualifications:

Must have current experience in Medical and/or Dental.
Certified Professional Coder
BS in Health Care Administration or equivalent years Coding/Billing experience
Must pass pre-employment drug screening.
Indian preference.

All certifications, credentials/ licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Indian preference applies, but we welcome all applicants who wish to apply for this position. To receive Indian preference, certification of Native American heritage needs to be attached to the job application.

Additional Information:

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Administrative Assistant II- Health Finance

***This position is open through Thursday, August 12, 2021. ***

Administrative Assistant II-Health Finance

Full-Time

Redding Rancheria is seeking an Administrative Assistant II-Health Finance. This position will perform a wide variety of clerical and administrative duties under direct supervision of the Director of Financial Health Services.

Minimum of 1 year experience working as an administrative assistant.
Demonstrated experience in supporting management.
Be dependable, reliable and possess organizational skills.
Must pass pre-employment drug screening.
Indian preference.

All certifications, credentials/ licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

Any offer of employment is conditioned upon the successful completion of a pre-employment drug screen. All employees are required to submit to a Tuberculosis test (TB) test after they are hired in addition to being tested annually.

Additional Information:

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. Visit the E-Verify URL below for more information.

https://www.e-verify.gov/employees

For further information, please contact Human Resources Dept. at (530) 225-8979.

Certified Professional Coder/Biller

***This position is open through Thursday February 4, 2021. ***
Perform all coding relating to Medical and accounts receivable. Coding for diagnoses, procedures and services performed by providers of the clinic will be audited for accuracy for billing all 3rd Party Payer’s, Medi-Cal including Medi-cal, Share of Cost, Medi-Care, Private Insurance meeting all payer, state and federal regulations.

Requirements/Minimum Qualifications:

Must have current experience in Medical.
Certified Professional Coder
BS in Health Care Administration or equivalent years Coding/Billing experience
Must pass pre-employment drug screening.
Indian preference.

All certifications, credentials/ licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application. Indian preference applies, but we welcome all applicants who wish to apply for this position. To receive Indian preference, certification of Native American heritage needs to be attached to the job application.

Additional Information:
We offer a competitive salary as well as having a work schedule running Monday through Friday. In addition, Redding Rancheria offers an excellent benefit package containing Medical, Dental, Vision, Life Insurance and Short/Long Term disability, paid holidays, vacation and sick leave as well as a generous 401(k) retirement plan.

E-Verify Statement
Redding Rancheria participates in the Electronic Employment Verification Program. For more information visit e-verify.

For further information, please contact Human Resources Dept. at (530) 225-8979.

Apply for this job

RN Case Manager

***This position is open through Thursday June 10, 2019 at 5:00pm.***

The primary function of the RN Case Manager is to provide case management services for patients while accessing and linking patients to resources in the community. The RN Case Manager is responsible for making appropriate referrals, appointment setting, and monitoring/reporting patients’ progress and needs to the clinical team.

The RN Case Manager will also be responsible for documenting case notes, and entering data regarding patients. Assists with clinical nursing duties as needed. Reports directly to primary clinician, and nursing supervisor, any change in status which requires treatment intervention.

Provides professional nursing services to accomplish the individual patient plan of care; independently and consistently using the nursing process to safely, therapeutically, and efficiently care for a full assignment of patients with subtle and sometimes unidentified needs.

Requirements/Minimum Qualifications:

Graduate of accredited school of registered nursing and possess current/valid R.N. license.
BSN preferred.
CPR certification.
Knowledge of EHR systems, Next Gen preferred.
Knowledge of Population Health Management System, for data reporting, i2i systems preferred.
Knowledge of Microsoft Word, Excel, etc.
Minimum keyboarding speed – 45 wpm.
Must pass pre-employment drug screening.
Indian preference.
Must be fingerprinted and pass background check

All certifications, credentials/ licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.

E-Verify Statement
Redding Rancheria participates in the Electronic Employment Verification Program. For more information visit e-verify.

Apply for this job

Certified Professional Coder

***This position is open through Thursday June 13, 2019. ***
Perform all coding relating to Medical and accounts receivable. Coding for diagnoses, procedures and services performed by providers of the clinic will be audited for accuracy for billing all 3rd Party Payer’s, Medi-Cal including Medi-cal, Share of Cost, Medi-Care, Private Insurance meeting all payer, state and federal regulations.

Requirements/Minimum Qualifications:

Must have current experience in Medical.
Certified Professional Coder
BS in Health Care Administration or equivalent years Coding/Billing experience
Must pass pre-employment drug screening.
Indian preference.

E-Verify Statement
Redding Rancheria participates in the Electronic Employment Verification Program. For more information visit e-verify.

For further information, please contact Human Resources Dept. at (530) 225-8979.

Apply for this job

Certified Professional Coder

Perform all coding, a Clerical function, relating to Medical and accounts receivable. Coding for diagnoses, procedures and services performed by providers of the clinic will be audited for accuracy for billing all 3rd Party Payer’s, Medi-Cal including Medi-cal, Share of Cost, Medi-Care, Private Insurance meeting all payer, state and federal regulations.

***This position closes on Monday, May 06th 2019 ***

REQUIREMENTS/MINIMUM QUALIFICATIONS:

Must have current experience in Medical.
Certified Professional Coder.
Must pass pre-employment drug screening.
Indian preference.

ESSENTIAL JOB DUTIES:

Collect ‘Kept Appointments with No Charges’ Report on a daily basis from the Medical department.
Ensuring coding and Alternate Resource information is complete and current.
Assists Clinic Operations Manager in monitoring fee schedules and recommends revisions when necessary.
Audit Electronic Health Record (EHR) for appropriate supporting documentation and medical necessity of documentation compared to charges.
Determining accurate codes for diagnoses, procedures and services performed by Physicians and recognized, licensed nonphysical providers in physician-based setting.(These services may include evaluation and management services as well as reviewing operative notes)
Keeping current with medical compliance and reimbursement policies, such as medical necessity issues and correct coding issues.
Providing physicians and staff with up-to-date coding information from reliable, accurate sources, such as specific payors, the AMA, AHA’s Coding Clinic, and CMS.
Updating the clinic’s fee schedule based on Relative Value Unit (RVU) updates that come out annually and based on additions and deletions to codes for procedures, services and supplies.
Audit for compliance per requests of the Quality Committee.
Prepare and submit electronic charges to insurance.
Complete tasks generated by RCM as follow-up.

KNOWLEDGE SKILLS AND ABILITIES

Knowledge of Indian Health Service and HCFA programs preferred.
Knowledge of Medical billing systems and regulatory requirements.
Knowledge of HIPAA Compliance.
Must have knowledge of Medi-Cal, Medicare and Private Insurance regulations, billing and coding procedures and electronic claims submissions.
Ability to work with others and follow written and oral directions accurately.
Ability to work in a team environment, both within the department as well as other departments.
Computer experience and ability to operate office machines.
Ability to be tactful and mature with the ability to work with a variety of personalities demonstrating objectivity, respect, courtesy and patience.
Ability to handle multiple tasks and priorities.
Good to excellent communication skills/interpersonal skills and telephone etiquette.

All certifications, credentials/ licenses, education verification /degrees and/or transcripts, and Indian verification are required to process your application.
Indian preference applies, but we welcome all applicants who wish to apply for this position. To receive Indian preference, certification of Native American heritage needs to be attached to the job application.

Additional Information:
Redding Rancheria is a federally recognized Tribe with Pit River, Wintu and Yana people where pride in Tribal culture, history and identity is evident internally and in the larger community. Redding Rancheria is a leader in the constructive development of its people, the larger Indian community and the Redding region.

E-Verify Statement

Redding Rancheria participates in the Electronic Employment Verification Program. To learn more about E-Verify please visit https://www.e-verify.gov/employees

Download Application