ACCOUNTS RECEIVABLE & BILLING SPECIALIST

SIHB Core Competencies

Core Competencies are foundational commitments and skills that all SIHB staff are expected to develop.  These competencies define common measures for performance that are applied to every role in the organization.

• Commitment to Indigenous and Organizational Values:  Everything we do at SIHB is centered on Traditional Indian Medicine.  It is our responsibility to maintain cultural integrity in all that we do. 
• Accountability: All employees of SIHB effectively manage their own work and the work of their teams.  We take ownership of our actions and decisions.  We all strive to deliver the highest quality work and care, while respecting our teammates and relatives.
• Collaboration: SIHB is a team-oriented organization. As team members, we share the responsibility of working toward a common goal. We collaborate with our colleagues across the organization to deliver the highest quality of care and results in alignment with our mission, vision, values, and Theory of Change.
• Communication: We practice effective and clear communication with staff, relatives, teams, and the community.  We demonstrate empathy among each other and with those we serve, and transparency in our decision-making.
• Customer Service Orientation: All employees of SIHB recognize the needs of the diverse community we serve. We put the needs of our relatives first by delivering the highest quality, professional, responsive, and innovative care. Our relatives come first and deserve the best. 

Position Summary: Manages the financial aspects of patient accounts, focusing on ensuring timely and accurate payment from patients and insurance companies. 

Organizational Structure/Reporting Relationships: This position reports directly to the Revenue Cycle Manager.

Organizational Responsibilities

• Hold Indigenous values and practices with respect and integrity 

• Hold yourself accountable to the highest standard by being resourceful, innovative, creative and solutions-oriented 

• Actively participate in organizational activities with the understanding that success is achieved through teamwork.

• Recognize that communication is central to the organization’s success and actively champion your words and actions to maintain respect for others, encourage constructive feedback, be open to share laughter and acknowledge differences in skills and opinions, all while keeping others’ best intentions in mind. 

• At SIHB, we refer to our customers as Relatives. Our Relatives come first and deserve the best.  Serve the needs of our Relatives first by delivering the highest quality, professional, responsive and innovative care.  

Job Responsibilities

• Support revenue cycle operations, including insurance verification, patient registration, billing, coding, accounts receivable management, payment posting, and account reconciliation.
  
• Monitor and analyze operational metrics to identify process improvement opportunities and mitigate risk.
• Assist with billing department optimization through continuous quality improvement and data-driven decision-making.
• Prepare operational reports, performance metrics, and statistical analyses.
• Collaborate with providers, leadership, field operations, and front-line staff to improve workflows and outcomes.
• Support claims management by running audits and reports to ensure accurate and timely billing.
• Assist patients with billing inquiries, payment processing, account updates, and issue resolution.
• Help standardize processes and promote efficient, team-based operations.
• Provide cross-coverage and support for business office functions as needed.

Background Qualifications

Required:

• Highschool Diploma or equivalent 
• Two years’ experience in a customer service-related role.

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time, with or without notice.

Preferred:

• Medical Billing or Coding Certification, two+ years’ experience in medical, dental, and/or behavior health billing may substitute for Medical Billing and Coding certification.

• Experience with Epic or Epic Ochin.

• Experience handling Medicare and Medicaid claims.

• Experience in Revenue Cycle Systems integration (i.e. electronic claim automation, claims scrubber integration, ERA/EFT enrollment & automation, etc…).

• Proficiency with Microsoft Office Suite; Microsoft Project Management.

Work Environment: SIHB operates on a 4x10 (4 days per week, 10 hours per day) work schedule.