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Accounts Receivable Tech III

Company: UNM Medical Group
Location: Albuquerque
Posted on: March 17, 2023

Job Description:

Accounts Receivable Tech III
UNMCC AR and Denials

Albuquerque, NM

UNM Medical Group, Inc. is hiring for an Accounts Receivable Tech 3 to join our UNMCCC Revenue Cycle to support Retail Pharmacy. This opportunity is a Full-time, M-F 8AM - 4:30PM opportunity in Albuquerque, New Mexico.
Minimum $34,320 - Midpoint $42,598*
*Salary is determined based on years of total relevant experience.
*Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.
Under general supervision, performs a variety of complex functions to resolve involved billing problems and issues, and maintains appropriate ledgers. Performs complex analyses of patient accounts, patient payments, and remittance advices from third party payers, posts complex account adjustments, transfers, and other actions. Initiates correspondence to responsible parties or third party payers, as applicable. Provides day-to-day guidance and mentorship to lower level staff, as appropriate.
Minimum Job Requirements of a Accounts Receivable Tech 3:
High school diploma or GED with at least 3 years of experience 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 a Accounts Receivable Tech 3:

  • Analyzes and investigates reimbursements or refund requests from third party payers, such as Medicare, Tricare, Medicaid, Salud, HMOs, and other payers, to determine if contracted amount has been allowed; researches and analyzes third party payer remittance documentation to determine priority of payment and application of adjustments. Uses MPV Contract Management to assure proper refund/reimbursement.
  • Compiles and submits appeals and monitors for proper reimbursement.
  • Performs daily and monthly reconciliations to the general ledger, to include reclassifications; receives and balances documents of deposits received.
  • Researches and analyzes third-party payer remittance documentation in order to reconcile payments to remittance advices; reconciles and applies changes and corrections to patient invoices and accounts in order to resolve complex credit balances.
  • Follows up directly with third-party payers and or patients, either by telephone or in writing, to resolve payment posting issues.
  • Ensures strict confidentiality of patient medical and financial records, in compliance with federal and state patient privacy legislation.
  • Interfaces with other departmental representatives in the resolution of identified problems and issues.
  • Participates in the development and execution of departmental goals and objectives.
  • May provide task-specific support and guidance to others in the department, 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.
    Diversity, Equity, and Inclusion Commitment:
    We will strive as an institution and as individuals to recognize, cultivate and promote all forms of diversity and to foster health and well-being throughout New Mexico by weaving cultural humility and respect for all people.
    UNMMG offers a competitive salary and an attractive benefit package which includes medical, dental, vision, and life insurance as well as tuition assistance, generous paid time off plan and 403b retirement for benefits eligible employees.
    Apply to our Accounts Receivable Tech 3 opportunity with UNM Medical Group, Inc. and a recruiter will contact you shortly!

Keywords: UNM Medical Group, Albuquerque , Accounts Receivable Tech III, Other , Albuquerque, New Mexico

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