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:

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

ESSENTIAL JOB DUTIES:

  1. Month End reconciliation of Third Party Collections.
  2. Monitor and reconcile Nextgen entries.
  3. Analyze financial information and Third Party transactions for accuracy.
  4. Assists in the year end reconciliation, audit and tasks as requested by Finance Management.
  5. Manages daily credit card processing, including gathering documentation for Third Party transactions.
  6. Work with Finance on credit card payments for credentialing.
  7. Processes TPA claims, insurance claim cash withdrawals, administrative billing and RX payments.
  8. Reconciles balance sheet assets and liability accounts.
  9. Assist in CHEF preparation and the reconciliation process.
  10. Assists as needed for backup of CHEF filing process.
  11. Preparation for review of annual Medi-Cal Reconciliation reports per facility.
  12. Preparation for review of annual Medicare cost reports per facility.
  13. Complete quarterly Medicare Credit Balance reports for review.
  14. Assists with McKesson and Henry Shein purchase orders, packing slips and invoices.
  15. Maintain sub ledgers of all self-insurance accounts for audit back-up.
  16. Ensure proper accounting in accordance with the established policies and procedures.
  17. Processes and prepares incoming checks reconciliation, posting and recording deposits for final review.
  18. Responsible for coordination and development of any projects or events for the health facilities that involve financial transactions and tracking.
  19. 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.

Medical Data and Referrals Specialist

***This position is open through Friday, February 16, 2024***

The Redding Rancheria is seeking a Medical Data and Referrals Specialist. The Preferred Schedule for this position is Monday- Friday from 8 am- 5 pm.

JOB SUMMARY:

Coordinate referrals from Redding Rancheria Tribal Health Systems to other health care providers for patient care that is not performed at the Health Center. Referrals are made to providers such as physicians, diagnostic facilities, radiology, laboratories, and hospitals.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

  • High School diploma or GED required.
  • Experience with pre-authorization process for 3rd Party payers.
  •  Medical Terminology
  •  Must pass pre-employment drug screening.
  •  Must be fingerprinted and pass background check
  •  Indian preference

ESSENTIAL JOB FUNCTIONS:

  • Receive referrals/requests from providers through the EHR and schedule outside care as indicated.
  • Provide information to patients regarding referral provider name, address and phone number to allow patients to call to schedule appointment. Acquire pertinent records, labs, x-rays, diagnostic tests and health summaries related to the patient’s current condition from the medical records; forward information to the specialist or facility involved.
  • Enter referral data, and insurance information into EHR..
  • Track all referrals sent out to ensure completion of care and receipt of related documentation using SQL reports. .
  • Maintain all required data in the EHR to comply with clinic, state and federal mandates.
  • Request medical records/other additional information from outside healthcare facilities.
  • Respond to authorized requests for information by outside healthcare facilities
  • Receive outside records and scan to appropriate EHR patient file.
  • Scan all ‘in house’ forms and documents to the appropriate EHR patient file.
  • Track all stored historical paper charts and shred as per policy as they time out. Perform other related duties as needed.

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.

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:

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.

 

Medical Records Technician I

***This position is open through Friday, February 10th, 2024.***

The Redding Rancheria is seeking a Medical Records Technician I.

JOB SUMMARY:

Maintain and protect patient medical records in accordance with clinic policies and guidelines for patient confidentiality.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

  • Prefer medical records experience to include numerical chart filing, lab and x-ray disposition.
  • Must have professional phone courtesy.
  • Prefer current understanding of ICD-10 Coding & interpretation.
  • Must pass pre-employment drug screening.
  • Indian preference.

ESSENTIAL JOB FUNCTIONS:

1. Audit patient documentation, and signature of all paperwork from all departments.
2. Scan and file (PAQ) all laboratory, radiology, consultation, etc. and other pertinent medical records for review and signature.
3. Validate requests and authorizations for the release of medical information.
4. Request medical records/other additional information from outside healthcare facilities.
5. Respond to authorized requests for information by outside healthcare facilities.
6. Issuing medical records to persons and agencies according to laws and regulations.
7. Prepare charts for chart audits such as HEDIS.
8. JJ Transcription dictations – upload/download (Contact Providers).
9. Detailed record keeping on permitted disclosures.
10. Maintain incoming records through different interfaces and ensure they are filed into the correct chart.

 

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.

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:

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.

Medical Data & Referrals Specialist

***This position is open through Friday, December 1st, 2023.***

The Redding Rancheria is seeking a Medical Data & Referrals Specialist. The schedule for this position is Monday through Friday from 8:00am to 5:00pm.

JOB SUMMARY:

Coordinate referrals from Redding Rancheria Tribal Health Systems to other health care providers for patient care that is not performed at the Health Center. Referrals are made to providers such as physicians, diagnostic facilities, radiology, laboratories, and hospitals.

REQUIREMENTS/MINIMUM QUALIFICATIONS:

  • High School diploma or GED required.
  • Experience with pre-authorization process for 3rd Party payers.
  • Medical Terminology.
  • Must pass pre-employment drug screening.
  • Must be fingerprinted and pass background check.
  • Indian preference.

ESSENTIAL JOB FUNCTIONS:

1. Receive referrals/requests from providers through the EHR and schedule outside care as indicated.
2. Provide information to patients regarding referral provider name, address and phone number to allow patients to call to schedule appointment. Acquire pertinent records, labs, x-rays, diagnostic tests and health summaries related to the patient’s current condition from the medical records; forward information to the specialist or facility involved.
3. Enter referral data, and insurance information into EHR.
4. Track all referrals sent out to ensure completion of care and receipt of related documentation using SQL reports.
5. Maintain all required data in the EHR to comply with clinic, state and federal mandates.
6. Request medical records/other additional information from outside healthcare facilities.
7. Respond to authorized requests for information by outside healthcare facilities.
8. Receive outside records and scan to appropriate EHR patient file.
9. Scan all ‘in house’ forms and documents to the appropriate EHR patient file.
10. Track all stored historical paper charts and shred as per policy as they time out. Perform other related duties as needed.

 

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.

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:

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.

 

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:

  1. Ensure coding, insurance and Alternate Resource Information is complete, current and determine eligibility.
  2. 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.
  3. Set claims to bill and communicate with RCM to ensure timely uploading of claim files to the clearinghouse.
  4. Assist Billing Manager and IT in monitoring fee schedules and recommend revisions when necessary.
  5. Audit Electronic Health Record (EHR) or Electronic Dental Records (EDR) for appropriate supporting documentation and medical necessity of documentation compared to charges.
  6. 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).
  7. Keep current with medical compliance and reimbursement policies, such as medical necessity issues and correct coding issues.
  8. 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.
  9. Communicate with admissions to ensure insurance and demographic information is correct.
  10. Communicate with Quality team to ensure documentation is meeting quality measures.
  11. Complete follow-up tasks of unpaid claims and research denials.
  12. Research proposed new procedures for coding and billing requirements as well as FQHC rulesand regulations, update staff on findings.
  13. Run aging reports for all insurance categories, including no insurance, to ensure properpayments and RCM write offs.

 

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.

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.

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.

 

Medical Records Technician I

***This position is open until Friday, September 22, 2023.***

Maintain and protect patient medical records in accordance with clinic policies and guidelines for patient confidentiality.

Please note that applications are accepted online or via fax (530)-242-4563 only.

Requirements/Minimum Qualifications:

  1. Prefer medical records experience to include numerical chart filing, lab and x-ray disposition.
  2. Must have professional phone courtesy.
  3. Prefer current understanding of ICD-10 Coding & interpretation.
  4. Must pass pre-employment drug screening.
  5. Indian preference.

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@redding-rancheria.com).

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.  Titao receive Indian preference, 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:

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.

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.