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UNM Medical Group, Inc. · 1 day ago

Account Operations Tech 3

Albuquerque, NM

Full-time

Hybrid

Mid, Senior Level

$41K/yr - $52K/yr

5+ years exp

UNM Medical Group, Inc. is hiring for an Account Operations Tech 3 to join their Revenue Cycle department. This role involves resolving billing problems, managing patient accounts, and providing guidance to lower-level techs.

Hospital & Health Care

Responsibilities

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

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

Responds to requests from third party payors and/or patients regarding reimbursement problems and issues

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

Prepares adjustment and refund request forms

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

Ensures strict confidentiality of patient medical and financial records, in compliance with federal and state patient privacy legislation

Assists in departmental problem solving, project planning, and the development and execution of departmental goals and objectives

May provide task-specific support and guidance to other techs, as appropriate

Qualification

Billing analysisPatient account resolutionThird-party payer interactionsStatistical reportingCustomer service

Required

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