Qureos Mentor

Cook Inlet Tribal Council

<div><h1 class="jobSectionHeader"><b>COOK INLET TRIBAL COUNCIL, INC.</b><br>
</h1>
<div><div><div><div><b>Job Title:</b></div><div> Revenue Cycle Specialist</div></div><br>
<div><div><b>
Department:</b></div><div> Finance</div></div><br>
<div><div><b>
Reports To:</b></div><div> Revenue Cycle Manager</div></div><br>
<div><div><b>
Supervises:</b></div><div> None</div></div><br>
<div><div><b>
FLSA Status:</b></div><div> Non-Exempt</div></div><br>
<div><div><b>
Pay Grade:</b></div><div> N5</div></div><br>
<div><div><b>
Job Type:</b></div><div> Regular, Full-Time</div></div><br>
<div><div><b>
AKBCU:</b> No</div><div><b> ICPA:</b> No</div></div><br>
</div>
</div>
<div></div><div><div><b>General Functions:</b></div>
<div>The Revenue Cycle Specialist ensures accurate and timely billing and collections for CITC's healthcare services by managing third-party payor claims, account follow-up activities, and outpatient billing processes. This position requires expert knowledge of Federal and State regulatory requirements, payor contracts, and CITC billing policies to maximize revenue recovery while maintaining compliance. Working in partnership with our people, the Revenue Cycle Specialist helps develop opportunities that fulfill our endless potential by ensuring financial resources are efficiently managed to support CITC's programs and services. The role serves as a subject matter expert in specialized revenue cycle functions and provides cross-functional support as needed.</div>
<div></div>
<div><b>Duties and Responsibilities:</b></div>
<div><ul><li>Review, analyze, and submit claims to third-party payors ensuring accuracy and compliance with Federal and State regulations.</li><li>
Research, correct, and resubmit unpaid or denied claims while tracking resolution through multiple EHR and billing platforms.</li><li>
Perform complex account follow-up activities by working aged receivables and utilizing A/R reports in revenue cycle management systems.</li><li>
Resolve registration and claim information issues by collaborating with clinical and administrative staff to ensure complete documentation.</li><li>
Interpret explanation of benefits (EOB) to identify denials and underpayments, then negotiate with insurance carriers for proper reimbursement.</li><li>
Submit third-party payor appeals and reconsideration requests within required timeframes to maximize revenue recovery.</li><li>
Post payments from third-party payors, Medicaid, and patients while verifying accuracy of payment and adjustment posting.</li><li>
Verify charge entry accuracy and make corrections as needed to ensure proper billing and reimbursement.</li><li>
Maintain communication with providers, patients, and insurance representatives regarding account issues and payment status.</li><li>
Meet department productivity goals and benchmarks while managing multiple tasks, projects, and deadlines simultaneously.</li><li>
Submit and track resolution of provider queries to ensure complete and accurate documentation for billing purposes.</li><li>
Protect participant privacy in accordance with CITC policies and HIPAA regulations when handling protected health information.</li><li>
Assist other staff members to maintain current department workload and provide cross-functional coverage as needed.</li><li>
Report privacy concerns or policy violations to the designated Privacy Officer without threat of retaliation.</li><li>
Perform all related duties as needed and assigned.</li></ul>
</div><div><b>Job Specifications:</b></div>
<div><ul><li>Demonstrated knowledge of medical electronic billing procedures, coding, and revenue cycle processes.</li><li>
Strong problem-solving and decision-making skills with ability to research and resolve complex billing issues.</li><li>
Excellent verbal and written communication skills with strong customer service and negotiation abilities.</li><li>
Proficient computer skills including Microsoft Office applications and ability to navigate multiple EHR and billing platforms.</li><li>
High degree of accuracy and attention to detail with demonstrated proficiency in data entry.</li><li>
Knowledge of general accounting principles, medical insurance, and associated Federal and State regulations.</li><li>
Ability to work independently with minimal supervision while managing multiple priorities under pressure.</li><li>
Demonstrated knowledge and understanding of the social, health, educational, training, and cultural needs of the Alaska Native and American Indian community.</li><li>
Ability and willingness to work remotely as needed with appropriate technology and internet connectivity.</li></ul>
</div><div><b>Minimum Core Competencies:</b></div>
<div>CITC Values, Respectful Leadership, Professionalism, Emotional Intelligence, Problem Solving/Critical Thinking, Communication Skills.</div>
<div></div>
<div><b>Minimum Qualifications:</b></div>
<div><ul><li>Continued employment is contingent upon completion of satisfactory state and federal fingerprint criminal background check.</li><li>
High School Diploma or GED.</li><li>
Three (3) years of billing revenue cycle experience.</li><li>
Three (3) years of medical billing experience.</li></ul>
</div><div><b>Preferred Qualifications:</b></div>
<div><ul><li>Five (5) years of billing revenue cycle experience.</li><li>
CRCR or CPC certification.</li><li>
Alaska Behavioral Health billing experience (State Plan and/or 1115 Waiver).</li><li>
Experience with tribal/IHS billing and reimbursement.</li></ul>
</div><div><b>Physical Requirements:</b><br>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.</div>
<div><ul><li>May require prolonged periods of sitting at a desk and consistently working on a computer with repetitive motion.</li><li>
The need to occasionally move around the office to access filing cabinets, storage cabinets, and office equipment may be necessary.</li><li>
Must be able to lift up to 25 pounds occasionally by utilizing proper lifting techniques and working in a safe manner.</li></ul>
</div>
<div></div><div><b>Disclaimer</b><br>
<i>The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job. It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this job. Management has sole discretion to add or modify duties of the job and to designate other functions as essential at any time. This job description is not an employment agreement or contract.</i></div></div></div>

Revenue Cycle Specialist

<div><h1 class="jobSectionHeader"><b>COOK INLET TRIBAL COUNCIL, INC.</b><br>
</h1>
<div><div><div><div><b>Job Title:</b></div><div> Budget &amp; Financial Analyst</div></div><br>
<div><div><b>
Department:</b></div><div> CITC Finance</div></div><br>
<div><div><b>
Reports To:</b></div><div> Controller</div></div><br>
<div><div><b>
Supervises:</b></div><div> None</div></div><br>
<div><div><b>
FLSA Status:</b></div><div> Exempt</div></div><br>
<div><div><b>
Pay Grade:</b></div><div> E3</div></div><br>
<div><div><b>
Job Type:</b></div><div> Regular, Full-Time</div></div><br>
<div><div><b>
AKBCU:</b> No</div><div><b> ICPA:</b> No</div></div></div></div><br>
<div>
<div></div><div><br>
<b>General Functions:</b></div>
<div>The Budget &amp; Financial Analyst is responsible for supporting CITC's financial health through the preparation and management of the annual budget, monthly financial reporting, and budget-to-actual variance analysis. This position plays a critical role in assisting with external cost proposals, ensuring accurate financial data supports organizational decision-making and compliance with grant requirements. Working in partnership with our people, the Budget &amp; Financial Analyst helps develop opportunities that fulfill our endless potential by providing sound financial analysis that strengthens CITC's programs and services. The role requires advanced analytical skills, strong attention to detail, and a commitment to accuracy and transparency in financial reporting.</div>
<div></div>
<div><b>Duties and Responsibilities:</b></div>
<div><ul><li>Lead the preparation of CITC's annual budget, coordinating with department managers to gather input, identify resource needs, and compile a comprehensive department and organizational budget for leadership review.</li><li>
Upload departmental and company-wide budgets directly into Sage Intacct and maintain budget revisions throughout the fiscal year to reflect current organizational priorities.</li><li>
Prepare accurate and timely monthly financial statements and reports that reflect the organization's financial position in accordance with generally accepted accounting principles (GAAP).</li><li>
Conduct monthly budget-to-actual variance analysis, identifying and communicating significant variances to management with supporting explanations and recommendations for corrective action.</li><li>
Compile and prepare external cost proposals, ensuring all financial components align with funding agency requirements, allowable cost guidelines, and Uniform Guidance (2 CFR Part 200).</li><li>
Maintain and update financial models and forecasting tools to support planning and strategic decision-making across the organization.</li><li>
Collaborate with Finance, Compliance, and program staff to ensure accurate coding of expenditures and timely resolution of discrepancies.</li><li>
Support internal and external audit processes by compiling, organizing, and submitting required financial documentation within established timelines.</li><li>
Prepare ad hoc financial analyses and reports as requested by management to inform organizational priorities and resource allocation decisions.</li><li>
Maintain process documentation and standard operating procedures related to budgeting, financial reporting, and cost proposal functions to ensure accuracy and compliance.</li><li>
Contribute to the continuous improvement of financial systems and reporting tools to enhance operational efficiency and accuracy.</li><li>
Perform all related duties as needed and assigned.</li></ul>
</div><div><b>Job Specifications:</b></div>
<div><ul><li>Advanced proficiency in financial analysis and business modeling using Microsoft Excel, including pivot tables, formulas, and scenario modeling.</li><li>
Thorough knowledge of generally accepted accounting principles (GAAP) and Uniform Guidance for federal awards.</li><li>
Strong organizational and time management skills with demonstrated ability to manage multiple priorities and meet strict deadlines.</li><li>
Excellent verbal and written communication skills with the ability to present complex financial information clearly to non-financial audiences.</li><li>
Demonstrated ability to analyze data, identify trends, and provide actionable recommendations to leadership.</li><li>
Experience with ERP systems and financial planning tools; familiarity with cloud-based budgeting platforms considered an asset.</li><li>
Team-oriented approach with the ability to collaborate effectively across departments and with external stakeholders.</li><li>
General knowledge and understanding of the social, health, educational, training, and cultural needs of the Alaska Native and American Indian community.</li></ul>
</div><div><b>Minimum Core Competencies:</b></div>
<div>CITC Values, Respectful Leadership, Professionalism, Emotional Intelligence, Problem Solving/Critical Thinking, Communication Skills.</div>
<div></div>
<div><b>Minimum Qualifications:</b></div>
<div><ul><li>Continued employment is contingent upon completion of satisfactory state and federal fingerprint criminal background check.</li><li>
Bachelor's degree in Accounting, Finance, Business Administration, or related field. Relevant work experience may substitute for the education requirement on a year-for-year basis.</li><li>
Five (5) years of progressively responsible experience in financial analysis, budgeting, or accounting.</li><li>
Intermediate to advanced proficiency in Microsoft Excel including pivot tables, formulas, and data analysis functions.</li><li>
Working knowledge of ERP and financial reporting systems with the ability to navigate multiple platforms.</li><li>
Familiarity with relevant federal grant regulations, including Uniform Guidance (2 CFR Part 200) and grant cost proposal preparation.</li><li>
Strong analytical skills with exceptional attention to detail and accuracy.</li><li>
Ability to manage confidential information with discretion and maintain strict confidentiality.</li></ul>
</div><div><b>Preferred Qualifications:</b></div>
<div><ul><li>Professional accounting designation (CPA, CMA, or equivalent).</li><li>
Experience in a nonprofit, tribal, or government financial environment.</li><li>
Experience with federal and state grant regulations and external grant cost proposal development.</li><li>
Familiarity with cloud-based financial planning and budgeting software, preferably Sage Intacct.</li></ul>
</div><div><b>Physical Requirements:</b><br>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.</div>
<div><ul><li>May require prolonged periods of sitting at a desk and consistently working on a computer with repetitive motion.</li><li>
The need to occasionally move around the office to access filing cabinets, storage cabinets, and office equipment may be necessary.</li><li>
Must be able to lift up to 25 pounds occasionally by utilizing proper lifting techniques and working in a safe manner.</li></ul>
</div>
<div></div><div><b>Disclaimer</b><br>
<i>The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job. It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this job. Management has sole discretion to add or modify duties of the job and to designate other functions as essential at any time. This job description is not an employment agreement or contract.</i></div></div></div>

Budget & Financial Analyst

Join Cook Inlet Tribal Council and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Cook Inlet Tribal Council

About Company

Revenue Cycle Specialist

Budget & Financial Analyst