Cherokee Indian Hospital Authority is an Equal Opportunity Employer (Minorities/Females/Disabled/Veterans).  To read more about this, view the EEO is the Law poster and this EEO is the Law Poster Supplement

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Fiscal Coordinator
Job Code:2022-09-026
Department:552 Gen Admin
FT/PT Status:Regular Full Time
Salary Minimum45,512
Salary Midpoint56,891
Position Closes:

Job Responsibilities & Qualifications:

Primary Function    

To develop, implement and maintain systems to operate the business office in an effective manner to ensure the facility operates in a financially sound manner. To maintain admission and financial systems in compliance with federal, state, and local requirements. Responsible for the billing and collection of all revenue owed to the facility. Will be responsible for the organization and maintenance of all records related to billing and collections in an effective and efficient manner.


Job Description

  • Responsible for all billing and accounting activities of the facility, providing appropriate reports to the Administrator. Produces Aged Accounts Receivable reports, Revenue Journals, and all corresponding reports on a monthly basis. Reviews insurance claim denials, coordinating with the Manager of Social Services, Manager of Nursing, and varied Department Managers to resolve denials and billing problems. Reviews all ancillary charges for accuracy and inputs into the AR system. Custodian of Resident Trust Funds.
  • Responsible for entry, paper claims, and electronic transmission of billing.
  • Posts all payments into computer Accounts Receivable as they are received, completing and submitting income reports to Finance Department for all revenues, whether checks or electronic funds.
  • Posts debits and credits to Resident Trust Account, assists with monthly reconciliation and quarterly statements.
  • Assist with weekly petty cash count.
  • Monitors and updates census daily.
  • Completes Medicare ABN’s
  • Responsible for accessing referral for payor source, pharmacy, eligibility, days of availability and prior approvals if needed.
  • Input invoices for labs, x-ray, office visits into EHR for Medicare A residents.
  • Assists with budget tracking of the facility, utilizing spreadsheet or specialized computer software. Verifies revenue on monthly transaction detail report. Provides monthly reports to Administrator, flagging possible variances for correction.
  • Follows changes in Medicare and Medicaid reimbursements requirements and implements changes appropriately. Obtains computer program version updates to ensure compliance with insurance electronic billing requirements.
  • Coordinates communication in the facility through use of telephone, pagers, fax, e-mail, and modem. Coordinates errands daily, visiting post office, Health & Medical Division mailboxes, and other locations as necessary.
  • Assists with the organization of admission paperwork and initiates computer files for new patients. Responsible for setting up financial files for all residents and all paper and communication needs in the office.
  • Works with Social Worker, families, and residents to assist in initial completion of Medicare/Medicaid paperwork and renewals.
  • Collects required statistics and works with the Administrator and accountants to create cost reports as required.
  • Attends all mandatory agency in-service/educational programs as scheduled during the evaluation period. Attends annual intermediary educational programs and others as deemed necessary for successful completion of assigned duties.
  • Demonstrates safe practices by using proper body mechanics, following policies for sharp/dangerous material handling and disposal, and reporting and/or acting to correct unsafe or costly conditions.
  • Performs other duties assigned by supervisor to promote efficient operation of the facility


Job Knowledge         

  • Must have a thorough knowledge of the policies, procedures, and guidelines of the EBCI Health & Medical Services System, and specialized medical billing practices.
  • Requires a thorough knowledge of the federal, state, and local regulations applying to the collection of revenue as a Medicare certified Health Provider, including interpretation and transmission.
  • Must maintain current knowledge of federal and state requirements within rapidly changing environment of federal, state, and local regulations as applied to the Health Care Industry.
  • Requires the ability to legibly document and maintain financial records, files, logs, and produce reports.
  • Must have an understanding of the EBCI culture, lifestyle, and risk factors.



  • High School Diploma or GED is required.
  • Associate’s Degree in Business Office Management, Accounting or related field is required.
  • Four years of billing/office management experience in the medical field with a proven record of accomplishment of excellent performance is required.
  • Nine to twelve months would be necessary to become proficient in facility specific software and processes, Long Term Care rules and regulations, as well as EBCI policies and procedures.
  • Additional computer experience in Word, Excel, etc. is preferred.