Account Operations Tech 3 Specialist

6 days ago


Albuquerque, New Mexico, United States UNM Medical Group, Inc. Full time
About the Role

We are seeking a highly skilled Account Operations Tech 3 Specialist to join our team at UNM Medical Group, Inc. in Albuquerque, New Mexico.

Salary and Benefits

The estimated salary for this position is $40,102 - $50,117 per year, with additional benefits including medical, dental, vision, and life insurance, tuition reimbursement, generous paid time off, and a 403b retirement plan.

Job Description

This full-time day shift opening involves performing a variety of complex functions to resolve billing problems and issues. The successful candidate will maintain accurate ledgers, research and analyze third-party payor remittance documentation, and reconcile patient invoices and accounts to correct account issues.

Responsibilities
  1. Analyze and investigate reimbursements from third party payors, such as Medicare, Champus, Medicaid, Salud, HMO's, and other payors, to determine if contracted amount has been allowed.
  2. Reconcile and apply changes to patient invoices and account to correct account issues; initiate inquiries, either by phone or in writing, to third party payors, and/or patients to resolve reimbursement and credit balance issues.
  3. Respond to requests from third party payors and/or patients regarding reimbursement problems and issues.
  4. Interact with and advise internal staff regarding billing and documentation policies, procedures, and serve as liaison with other department representatives to resolve reimbursement and/or credit balance issues.
  5. Prepare adjustment and refund request forms.
  6. Collect, analyze, and summarize data for preparation of statistical reports; create and maintain specified data files and logs, maintain computerized systems for collection and tracking of data, and assist in the preparation of reports.
  7. Ensure strict confidentiality of patient medical and financial records, in compliance with federal and state patient privacy legislation.
  8. Assist in departmental problem solving, project planning, and the development and execution of departmental goals and objectives.
Requirements and Qualifications

The ideal candidate will have a high school diploma or GED with at least 5 years of experience directly related to the duties and responsibilities specified. A completed degree from an accredited institution above the minimum education requirement may be substituted for experience on a year for year basis.

Why Choose Us

UNM Medical Group, Inc. is dedicated to providing compassionate and evidence-based treatments, holistic and integrated approach, inclusive and impactful services. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence.



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