Accounts Receivable Specialist
5 days ago
We are seeking a highly skilled Accounts Receivable Tech II to join our Revenue Department at UNM Medical Group, Inc. This is a remote position that requires a permanent address and residency in New Mexico or willingness to relocate.
The selected candidate will be responsible for posting receipts into our billing system from EOP (Explanation of Payment) from insurance companies and patient payments. We utilize electronic postings from 835's as well as manual posting.
The ideal candidate will have a strong understanding of posting payments and resolving denials via 835/EOB/EOP, collecting and/or posting payments, and processing claims/bills/invoices.
Key Responsibilities- Processes and researches electronic data interchange (EDI) reimbursements from various payers; processes EDI payments, contractual allowances, and related transactions on patient invoices, as required.
- Responsible for denial letter reconciliation.
- Performs daily and monthly reconciliations to the general ledger, to include reclassifications; receives and balances documents of deposits received.
- Researches and analyzes third-party payer remittance documentation in order to reconcile payments to remittance advices; reconciles and applies changes and corrections to patient invoices and accounts.
- Follows up directly with third-party payers and or patients, either by telephone or in writing, to resolve payment posting issues.
- Resolves credit balances for patients and between the Hospital and Medical Group and third party payers.
- Prepares routine patient and third party payer refund request forms with the required documentation.
- Ensures strict confidentiality of patient medical and financial records, in compliance with federal and state patient privacy legislation.
- Interfaces with other departmental representatives in the resolution of identified problems and issues.
- Participates in the development and execution of departmental goals and objectives.
- May provide task-specific support and guidance to others in the department, as appropriate.
- 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.
About the Revenue Department:
We are a very detailed department in that it takes daily communication to ensure we are meeting the Business Needs of the Revenue Cycle Department and Organization.
Diversity, Equity, and Inclusion Commitment:
We are dedicated to embracing and promoting diversity while fostering well-being across New Mexico through cultural humility and respect for everyone.
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.
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