Fiscal Intermediary

Join the Reno-Sparks Indian Colony as a Full-Time Fiscal Intermediary and experience the thrill of making a difference in your community. This onsite position offers a competitive hourly wage of $21.58 - $26.54, providing you with an opportunity to contribute positively while receiving fair compensation for your skills. Engage in meaningful work that emphasizes our core values of integrity and problem-solving, where your efforts can lead to tangible improvements in the lives of others.

Nestled in the vibrancy of Reno, NV, this role encourages professional growth in a customer-focused culture that respects traditional values. Enhance your career while being part of a dedicated team committed to safety and community well-being.

You will be given great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, and Paid Time Off. Apply now to become a pivotal part of our mission and help us serve with distinction.

The Reno-Sparks Indian Colony (RSIC) is a federally recognized tribal government dedicated to the economic and social advancement of its people. Established in the early 1900s and formally recognized under the Indian Reorganization Act of 1934, the RSIC represents over 1,100 members of the Paiute, Shoshone, and Washoe Tribes—Three Tribes, One Nation. Our lands include the original 28-acre Colony in central west Reno and a 1,920-acre community in Hungry Valley, located 19 miles north of the Colony in the scenic Eagle Canyon region of Nevada.

The RSIC is a vibrant and growing organization that honors traditional teachings and cultural heritage while embracing modern business practices and innovative governance. We employ over 300 individuals, including more than 150 tribal members, and are committed to fostering a professional work environment that encourages talent, motivation, and career development. As a government and as employees, we are united in our mission to serve the RSIC community with integrity, fiscal responsibility, and a shared commitment to health, prosperity, and cultural preservation.

Our vision is to support a strong, healthy community where individuals and families thrive—spiritually, physically, and emotionally—building a foundation for lasting well-being and success.

As a Full-Time Fiscal Intermediary at the Reno-Sparks Indian Colony, you will play a crucial role in the management of Purchased and Referred Care (PRC) and Tribal Medicaid Federally Qualified Health Centers (TMFQHC) claims. Operating under the direct supervision of the Referral Department Manager, you will determine referral eligibility for payments in accordance with federal regulations and evaluate provider agreements to ensure compliance.

Your responsibilities include auditing claims for accuracy, initiating payments, and maintaining meticulous fiscal records while ensuring confidentiality.

You'll serve as the key contact for provider groups regarding program coverage and billing requirements. Your attention to detail will aid in the timely adjudication of claims, while your proactive communication will enhance stakeholder relationships. Additionally, you will monitor PRC funds, track potential cases requiring special attention, and contribute to quality assurance efforts, making a significant impact on the overall efficiency of care delivery.

To excel as a Full-Time Fiscal Intermediary with the Reno-Sparks Indian Colony, a combination of relevant skills and experience is essential. A high school diploma or GED is required, along with a minimum of two years of experience in a medical billing environment or with medical claims. Proficiency in modern office practices and basic accounting procedures is crucial, as is a strong command of business English, spelling, grammar, and arithmetic.

You must possess effective communication skills, both orally and in writing, enabling seamless information exchange with a diverse range of stakeholders. The ability to build professional relationships within the health community and maintain confidentiality is…