Medical Billing Technician I​/II​/III - Echo Cliffs Health Center

Navajo Preference Employment Act

In accordance with Navajo Nation and federal law, TCRHCC has implemented an affirmative action plan pursuant to the Navajo Preference in Employment Act. Pursuant to this plan and corresponding TCRHCC policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally‑recognized American Indian tribes will be given tertiary preference.

The Medical Billing Technician I/II/III is responsible for accurate, timely, and compliant medical claims billing and related revenue cycle activities for hospital, outpatient, ambulatory, dental, pharmacy, and other assigned clinical service lines. The position supports the full claim lifecycle from account review, billing validation, claim generation, claim editing, electronic submission, payer rejection correction, rebilling, denial follow‑up support, and coordination of information needed to secure appropriate reimbursement from third‑party payers and responsible parties.

The incumbent validates billing information against documentation, coding, authorization, payer requirements, utilization review determinations, charge capture, patient demographics, insurance coverage, and other account‑level data. The role requires strong attention to detail, sound judgment, knowledge of payer billing rules, and the ability to collaborate with Patient Access, Health Information Management, Coding, Utilization Review, Clinical Departments, Compliance, Provider Enrollment, Finance, and payer representatives.

This position is expected to support modern hospital and ambulatory billing operations, including use of electronic health record and claim‑editing systems. Preferred experience includes Altera Sunrise EHR SCM/SFM workflows and Optum Assurance claim editing, work queue management, and pre‑claim validation processes. The position contributes directly to compliant reimbursement, denial prevention, clean claim performance, cash acceleration, and the financial sustainability of Echo Cliffs Health Center.

Technician I:
Must have a High School diploma or GED equivalent.

Technician II:
Must have a Medical Billing and Coding Certificate or certification in a related healthcare, business, revenue cycle, billing, coding, or administrative field.

Technician III:
Must have an Associate’s Degree or higher in Business Administration or Hospital Administration or a related field.

Technician I:
Minimum of one (1) year of experience related to medical, dental, pharmacy, hospital, ambulatory, patient access, medical billing, claims processing, coding, or revenue cycle operations. Knowledge of medical terminology, anatomy, physiology, and basic payer billing concepts is required.

Technician II:
Minimum of three (3) years of progressively responsible experience in medical, dental, pharmacy, hospital, ambulatory, billing operations, coding, patient access, payer follow‑up, claim correction, or related revenue cycle functions. Must demonstrate working knowledge of payer requirements, claim forms, coding sets, and claim submission processes.

Technician III:
Five (5) or more years of advanced experience in medical claims billing, hospital and ambulatory revenue cycle operations, denial/rejection correction, payer billing requirements, reimbursement workflows, and account research. Must demonstrate in‑depth knowledge of billing compliance, claim edits, payer rules, and system‑based claim resolution.

• Positive working relationships with others.
• Possession of high ethical standards and no history of substantiated complaints related to integrity, confidentiality, or professional conduct.
• Reliable and dependable; reports to work as scheduled without excessive absences.
• Completion of and…