Account Operations Tech 3 Specialist
6 days ago
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 BenefitsThe 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 DescriptionThis 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- 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.
- 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.
- Respond to requests from third party payors and/or patients regarding reimbursement problems and issues.
- 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.
- Prepare adjustment and refund request forms.
- 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.
- Ensure strict confidentiality of patient medical and financial records, in compliance with federal and state patient privacy legislation.
- Assist in departmental problem solving, project planning, and the development and execution of departmental goals and objectives.
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 UsUNM 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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