| Location:
Health Delivery Building
Scope of Work: The Third Party Billing
office is responsible for medical billing of all EBCI
tribal clinics. They verify and process data from tribal
clinics to generate medical claim form
for third party payers, such as Medicaid, Medicare, and
other private insurance agencies.
They process claims for payment and record payment upon
receipt.
Contact
Brenda Johnson, Coordinator 497-7460
Click Here for Departmental
Phone Numbers
2003 Accomplishments:
- Tracking of enrolled members that are seen in the clinics
with no insurance, total charge of visit.
- Have a Certified Coder position.
- Assisting with Compliance audits – Home Health,
Qualla Youth Health Center, and Cherokee County.
- In process of hiring another Data Entry operator.
|
2003 Accomplishments
(cont)
- Completed cost reports for Medicare and Medicaid for
Tribal Clinics and Medicaid cost report for EMS program.
- Three employees became certified as Medical Insurance
Specialists with training in Orlando, Florida in March
2003.
- All employees are SHIP VOLUNTEERS with the NC Medicare.
We are able to help with Medicare questions from the public
regarding policies and other information.
- Carol is now entering data into the RPMS for 12 clinics.
- Trainings staff has attended:
- PCC+ Encounter form training
- 1,2,3 Coding & Compliance
- Annual HIM/Business Office Partnership Conference
- EMS Billing Training
- Softrain – Basic and Intermediate Excel and
Basic Access
- NC Medicaid
- Medicare
- Quarterly SHIP Updates
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