Account Operations Tech 3

2 weeks ago

Albuquerque, United States UNM Medical Group, Inc. Full time
Job DescriptionJob Description

The UNM Medical Group, Inc. is hiring for an Account Operations Tech 3 to join our Revenue Cycle department. This opportunity is a full-time day shift opening located in Albuquerque, New Mexico. Remote Position-Selected candidate must have a permanent address and live in New Mexico or be willing to relocate to New Mexico.

Minimum $38,521 - Midpoint $48,172*

*Salary is determined based on years of total relevant experience.

*Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.

Summary

Under general supervision, performs a variety of complex functions to resolve involved billing problems and issues, and maintains appropriate ledgers. Researches and provides reports on resolved invoices. Performs complex analyses of patient accounts, patient payments, and remittance advices from third party payers; posts complex account adjustment, transfers, and other actions. Initiates correspondence to responsible parties or third party payers, as applicable. Provides day-to-day guidance and mentorship to lower level Patient Accounts Techs, as appropriate.

Minimum Job Requirements of an Account Operations Tech 3:

High school diploma or GED with at least 5 years of experience that is directly related to the duties and responsibilities specified. Completed degree from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis. Verification of education and licensure (if applicable) will be required if selected for hire.

Duties and Responsibilities of an Account Operations Tech 3:

  1. Analyzes and investigates reimbursements from third party payors, such as Medicare, Champus, Medicaid, Salud, HMO's, and other payors, to determine if contracted amount has been allowed; researches and analyzes third party payor remittance documentation to determine priority of payment and application of adjustments.
  2. Reconciles and applies changes to patient invoices and account to correct account issues; initiates inquiries, either by phone or in writing, to third party payors, and/or patients to resolve reimbursement and credit balance issues.
  3. Responds to requests from third party payors and/or patients regarding reimbursement problems and issues.
  4. Interacts with and advises internal staff regarding billing and documentation policies, procedures, and serves as liaison with other department representatives to resolve reimbursement and/or credit balance issues.
  5. Prepares adjustment and refund request forms.
  6. Collects, analyzes, and summarizes data for preparation of statistical reports; creates and maintains specified data files and logs, maintains computerized systems for collection and tracking of data, and assists in the preparation of reports.
  7. Ensures strict confidentiality of patient medical and financial records, in compliance with federal and state patient privacy legislation.
  8. Assists in departmental problem solving, project planning, and the development and execution of departmental goals and objectives.
  9. May provide task-specific support and guidance to other techs, as appropriate.
  10. Performs miscellaneous job-related duties as assigned.

About UNM Medical Group, Inc.

UNM Medical Group, Inc. (UNMMG) is the practice plan organization for physicians and other medical providers associated with the UNM Health Sciences Center. UNMMG is a New Mexico non-profit corporation and is an equal opportunity employer. UNMMG strives to mitigate health disparities brought about by technology; we aim to reach underrepresented populations, making healthcare more equitable and accessible for all of the people in New Mexico; we have a demonstrated commitment to diversity, equity, inclusion, and student success as well as working with broadly diverse communities.

Diversity, Equity and Inclusion Commitment:

We will strive as an institution and as individuals to recognize, cultivate and promote all forms of diversity and to foster health and well-being throughout New Mexico by weaving cultural humility and respect for all people.

Benefits:

UNMMG offers a competitive salary and an attractive benefit package which includes medical, dental, vision, and life insurance as well as tuition reimbursement, paid leave and 403b retirement for benefits eligible employees.

Apply to our Account Operations Tech 3 opportunity with UNM Medical Group, Inc. and a recruiter will contact you shortly

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