Locations: Albuquerque, NM Type:Tribal Salary Range:$20 to $27 / Per Hour Open Period:5/3/2024 until filled Summary:Summary of Benefits Health Care Plan for Individual & Family Dental Plan Vision Plan Flex Spending Account 401K Plan Term Life Insurance Long Term & Short Term Disability Supplemental Healthcare Plans Workman's Compensation Employee Assistance Program Domestic Partner Benefits More info about area: Job Announcement Flyer: Duties:Gathers and ensures accuracy of required information; electronically files claims to third party payers and other insurance plans on a timely basis and in accordance with established policies, procedures and protocols.
? Posts and reconciles payments from third party payers and individuals on a timely basis.
? Maintains accurate patient accounts and makes adjustments as needed; adequately documents accounts.
? Verifies accuracy of all billing data for patients including; commercial, state and government insurance.
? Maintains files for workers compensation and various payer sources.
? Interacts with third party payers and other insurance plans as needed.
? Maintains key functions of accounts receivable including; revenue and charge entry posting and balancing.
? Accounts for daily patient encounter forms, and completes applicable coding and data entry.
? Processes and enters dental charges, medical, ems, and behavioral health charges.
? Identifies delinquent accounts and refers to collection agency as appropriate.
? Reviews system generated reports to identify claims ready for billing; ensures accuracy and completeness of claims and approves for billing; corrects billing of previously submitted accounts and rebills as needed.
? Manages unbilled claims; researches delinquent and denied claims; follows-up and resubmits denied claims.
? Maintains accounts receivable aging and oversees applicable account adjustments.
? Substitutes as patient registrar or receptionist as needed.
? Establishes and maintains an effective filing and retrieval system according to established policies and procedures.
? Ensures compliance with HIPAA regulations.
? Maintains confidential information.
? Performs other duties as assigned.
Qualifications:? High School Diploma or GED.
? One year claims processing, billing or accounting experience.
? Must be able to type at Must be able to pass a TB screening.
? Must provide written copy of immunization record prior to employment.
? Must pass background check for position.
? Must be able to comply with the Pueblo of Isleta Drug Free Workplace policies.
Work Type:Permanent, Full Announcement #:060-24