Job Summary
The Billing Specialist is responsible for supporting the revenue cycle
operations of ShoqweL Ya’ LhaoLh-ew’xw, Lummi Nation’s Secure Withdrawal Management and
Stabilization (SWMS) facility. This position prepares and submits claims, monitors accounts
receivable, and follows up on denied or unpaid claims to ensure accurate and timely reimbursement
from Medicaid (Apple Health), Medicare, commercial insurance, Tribal programs, and self-pay
accounts. The Billing Specialist works closely with clinical, registration, and finance staff to ensure
documentation and billing practices meet Tribal, federal, and state requirements. This position
maintains strict confidentiality of patient information in accordance with HIPAA and 42 CFR Part 2
regulations governing substance use disorder patient records and contributes to the development and
improvement of billing workflows.
