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Account Operations Tech 2-AR & Denials

Company: UNM Medical Group
Location: Albuquerque
Posted on: May 16, 2022

Job Description:

Account Operations Tech 2-AR & Denials Department: AR & Denials Location: Albuquerque, NM
The UNM Medical Group, Inc. is hiring for an Account Operations Tech 2 to join our AR & Denials department. This opportunity is a full-time day shift opening located in Albuquerque, New Mexico. Remote Position-Selected candidate must have a permanent address and live in New Mexico or be willing to relocate to New Mexico. Revenue Cycle AR & Denials Department Tech 2 position performs a variety of routine complex day- to-day operations that may involve independent research, investigation, and problem resolution, in support of the administration of billing accounts for a defined University medical or billing agent. May provide task-specific support and guidance to new and/or lower level Account Operations techs, as appropriate. 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 time frame. Identifies and bills secondary or tertiary insurances. Prepares, reviews, and transmit 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 from. 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. Summary Performs a variety of routine to complex day-to-day operations that may involve independent research, investigation, and problem resolution, in support of the administration of billing accounts for a defined University medical service or billing agent. May provide task-specific support and guidance to new and/or lower level Account Operations techs, as appropriate. Minimum Job Requirements of an Account Operations Tech 2: High school diploma or GED with at least 3 years of experience that is directly related to the duties and responsibilities specified. Verification of education and licensure (if applicable) will be required if selected for hire. Duties and Responsibilities of an Account Operations Tech 2:

  • 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.
  • 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. Benefits: UNMMG offers a competitive salary and an attractive benefit package which includes medical, dental, vision, and life insurance as well as tuition assistance, paid leave and 403b retirement for benefits eligible employees.

Keywords: UNM Medical Group, Albuquerque , Account Operations Tech 2-AR & Denials, Other , Albuquerque, New Mexico

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