Note: The job is a remote job and is open to candidates in USA. UNM Medical Group, Inc. is seeking a full-time Accounts Receivable Tech 3 to join our Revenue Department. The role involves posting receipts into the billing system, analyzing patient accounts, and resolving billing problems while providing guidance to lower-level staff.

Responsibilities

• Analyzes and investigates reimbursements or refund requests from third party payers, such as Medicare, Tricare, Medicaid, Salud, HMO’s, 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

Skills

• High school diploma or GED with at least 3 years of experience related to the duties and responsibilities specified
• Experience in cash applications in a healthcare setting is required
• Completed degree from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis
• Knowledge of posting payments and resolving denials via 835/EOB/EOP
• Experience in collecting and/or posting payments
• Experience in processing claims/bills/invoices

Benefits

• Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package.
• Insurance Coverage: Includes medical, dental, vision, and life insurance.
• Additional Perks: Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.

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