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UNM Medical Group, Inc. · 2 days ago

Account Operations Tech 2

Albuquerque, NM

Full-time

Onsite

Mid Level

$38K/yr - $48K/yr

3+ years exp

UNM Medical Group, Inc. is hiring for an Account Operations Tech 2 to join their Revenue Cycle department. The role involves performing a variety of operations to support the administration of billing accounts and resolving outstanding accounts receivable issues.

Hospital & Health Care

Responsibilities

Researches and analyzes claims from various government and commercial third-party payers; verifies patient eligibility, and adjusts and resubmits claims

Follows up directly with third-party payers and/or patients, either by telephone or in writing, to resolve outstanding accounts receivable issues

Follows up on unpaid claims within standard billing cycle timeframe

Identifies and bills secondary or tertiary insurances

Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing

Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form

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

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

Qualification

Claims researchAnalysisBilling software proficiencyInsurance claims submissionPatient eligibility verificationProblem resolutionCommunication skillsAttention to detail

Required

High school diploma or GED with at least 3 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