UNM Medical Group, Inc.
Cash Applications - Accounts Receivable Tech II
UNM Medical Group, Inc., Albuquerque, New Mexico, United States, 87101
Cash Applications - Accounts Receivable Tech II
UNM Medical Group, Inc. is seeking a full-time
Cash Applications - Accounts Receivable Tech 2
to join the Revenue Department. The position is Remote. Candidates must have a permanent address and live in New Mexico or be willing to relocate.
Salary:
Minimum $36,399 - Midpoint $44,754. Salary is determined based on years of 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.
Job Summary:
Under direct supervision, performs routine and complex day-to-day operations related to posting of Electronic Data Interchange (EDI) 835 files which requires independent research, investigation, and problem resolution.
Responsibilities
Processes and researches electronic data interchange (EDI) reimbursements from various payers; processes EDI payments, contractual allowances, and related transactions on patient invoices, as required.
Responsible for denial letter reconciliation.
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.
Follows up directly with third-party payers and/or patients, either by telephone or in writing, to resolve payment posting issues.
Resolves credit balances for patients and between the Hospital and Medical Group and third party payers.
Prepares routine patient and third party payer refund request forms with the required documentation.
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.
Qualifications
High school diploma or GED with at least 2 years of experience 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.
Preference for candidates with knowledge of posting payments and resolving denials via 835/EOB/EOP, collecting and/or posting payments, and processing claims/bills/invoices.
Experience in cash applications in a healthcare setting is required.
Must have a permanent address and live in New Mexico or be willing to relocate to New Mexico.
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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Cash Applications - Accounts Receivable Tech 2
to join the Revenue Department. The position is Remote. Candidates must have a permanent address and live in New Mexico or be willing to relocate.
Salary:
Minimum $36,399 - Midpoint $44,754. Salary is determined based on years of 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.
Job Summary:
Under direct supervision, performs routine and complex day-to-day operations related to posting of Electronic Data Interchange (EDI) 835 files which requires independent research, investigation, and problem resolution.
Responsibilities
Processes and researches electronic data interchange (EDI) reimbursements from various payers; processes EDI payments, contractual allowances, and related transactions on patient invoices, as required.
Responsible for denial letter reconciliation.
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.
Follows up directly with third-party payers and/or patients, either by telephone or in writing, to resolve payment posting issues.
Resolves credit balances for patients and between the Hospital and Medical Group and third party payers.
Prepares routine patient and third party payer refund request forms with the required documentation.
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.
Qualifications
High school diploma or GED with at least 2 years of experience 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.
Preference for candidates with knowledge of posting payments and resolving denials via 835/EOB/EOP, collecting and/or posting payments, and processing claims/bills/invoices.
Experience in cash applications in a healthcare setting is required.
Must have a permanent address and live in New Mexico or be willing to relocate to New Mexico.
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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