Medical Billing Specialist

JOB SUMMARY

The Medical Billing Specialist at the Muckleshoot Health Division is responsible for supporting the billing and revenue cycle by processing medical claims to third-party payers. This position involves verifying patient insurance details, assisting in the preparation and submission of claims, and helping to ensure timely payments. The Specialist will maintain accurate records of all billing transactions and collaborate with medical providers to confirm that appropriate documentation is available for claims submission. While this is an entry-level position, the ability to learn quickly and follow procedures is essential. This role offers an opportunity to develop skills in medical billing and coding while supporting the financial operations of the Health Department.

MAJOR TASKS AND RESPONSIBILITIES

This list is intended only to illustrate the various types of work that may be performed.  The omission of specific statements does not exclude them from the position if the work is similar, related or logical assignment to the position.

1. Assist in the preparation and submission of medical claims to insurance companies and third-party payers.
2. Verify and update patient insurance coverage and other details in the billing system.
3. Maintain organized and accurate records of claims and payments.
4. Input billing and payment data into medical billing software with attention to detail.
5. Collaborate with healthcare providers to gather necessary documentation for claims.
6. Respond to basic billing inquiries from patients and insurance companies.
7. Support follow-up activities on unpaid or underpaid claims under supervision.
8. Generate simple billing reports and assist with data entry as needed.
9. Stay informed about basic medical billing regulations and payer guidelines.
10. Assist in filing and other clerical duties related to billing activities.
11. Because of the Tribe's commitment to community service and the well-being of its members, each employee may be expected to perform a wide range of office and field duties from time to time. Such duties may or may not be related to their regular responsibilities.

EDUCATION - EXPERIENCE AND TRAINING FOR POSITION

Required:

High school diploma or equivalent.

Two (2) years of EPIC medical billing experience.

Preferred:

Experience in a healthcare or billing environment.

SPECIFIC SKILLS/KNOWLEDGE/ABILITIES REQUIRED FOR POSITION

Skills:

• Basic understanding of office procedures and data entry.
• Ability to quickly learn medical billing software and processes.
• Strong organizational skills for maintaining billing records.
• Attention to detail in billing data and payments.
• Good communication skills for interacting with team members and patients.
• Basic knowledge of HIPAA regulations and confidentiality.

Ability:

• Accurately input data into billing software.
• Communicate effectively with providers and insurance companies.
• Learn and adapt to new billing procedures quickly.
• Work independently while following supervision.
• Manage multiple tasks and meet deadlines.
• Assist with resolving basic billing inquiries.

Knowledge:

• Basic understanding of medical billing processes or willingness to learn.
• Familiarity with third-party payer systems is a plus.
• Understanding of insurance verification processes.
• Knowledge of basic office software (e.g., Microsoft Office).
• Awareness of HIPAA regulations and patient confidentiality.
• General familiarity with medical terminology is beneficial.

PHYSICAL REQUIREMENTS

The Medical Billing Specialist position primarily involves working in an office setting, seated at a desk for extended periods. It requires frequent use of a computer to enter billing and payment data. Some light lifting, such as carrying office supplies or files (up to 10 pounds), may occasionally be necessary. The position requires focus, attention to detail, and the ability to work with minimal distractions, as accuracy in billing is critical. Good vision is necessary for reviewing billing documents, and moderate stress may occur around billing deadlines or large claim submissions.