About this opportunity
Alta Mira Specialized Family Services Inc. lists this Medical Billing Specialist opportunity in albuquerque, New Mexico. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Job TitleAlta Mira is a nonprofit organization that has existed since 1985. We provide services to all age groups. We support over 800 children annually through our Early Intervention Program and 1500 adults in our Family Support Services. We employ over 60 employees and 250 independent contractors. We are an excellent employer with a high level of schedule flexibility and very rich benefits. We are one of New Mexico's Top Workplaces in the category of work/life balance.This is a full-time, 40-hour-per-week position.Some of our benefits include:Paid Time Off – from 150 to 304 hours a yearPaid Sick Leave - 1 hour for every 30 hours workedPaid Holidays – 5 holidays per yearWinter Break – agency is closed from December 24th through New Year's Day (paid)Educational Leave – 40 hours after 6 months of employmentBereavement Leave – up to 24 hoursMedical – 3 plans to choose from through BCBS, ranging in premiums from $0 to $159.21.Dental - freeVision – vision through VSP at $1.67SIMPLE IRA – Matched $1 for $1 by the agency for the first 3% of employees' annual payGroup life and Long-Term Disability – agency pays for 25KIndividual life and Short-Term Disability – available, paid by employeeMileage reimbursement - $0.725 per mile, if required to drive during work hours for work purposesDiscount ProgramWe are a 501(c)(3) program that allows employees to enroll their student loans in the Public Service Loan Forgiveness through the Federal government.Skills· Accuracy· Excellent computer skills, proficiency in Excel and Word, knowledge of I Therapy Docs a plus· Excellent communication skills (written and verbal)· Self-Starter· Detail-oriented· Ability to work independently and complete assigned tasks within identified time frames and with minimal supervision· Team player· Excellent organizational skills· Filing· 10 keys by touch· Scanning· Ability to juggle multiple tasks· Strong accounting knowledge· Customer service· Time ManagementJob Functions· Performs day-to-day functions of the accounting/billing department· Communicates promptly and courteously with staff and contractors· Monthly billing reconciliation for various accounts and posts payments· Transmits electronic claim files to the clearinghouse as needed· Data entry· Research and resolve discrepancies, denials, and appeals on all accounts· Follow up on delinquent claims in a timely manner and correct clearinghouse errors· Assists with annual audit· Conduct coding training sessions and periodically update providers on specific coding issues, topics, and updates.· Responsible for managing client accounts and collections· Performs duties in an organized, efficient, and timely manner· Advises Operations Director regarding specific billing issues· Works with the Billing Team through the monthly billing processo Create contractor payment invoiceso Create billing reimbursement invoiceso Perform data-entry as neededo Reconciles billing reportso Assist in running the software billing process and submittalo Assist in the follow-up process regarding payment denials· Maintains EVV processo Create and maintain EVV worker and user profiles in Authenticare softwareo Process EVV billing and follow-up process· Manage all aspects of billing, state partners, and other stakeholders, including:Creation of 837p for Medicaid and upload into Conduent Billing:o Mi Viao Authenticare/Palcoo Supports Waivero MOU'so Private Pay for Respite Home Mealso Reconciliation of private pay for RH mealso Monitor for, correct, and rebill any denialso Communicate with Operations Director the expected amounts receivable for each payer to enter into IntaactAt Alta Mira Specialized Family Services, we value the diversity of our workforce and actively seek opportunities to incorporate Diversity, Equity, and Inclusion (DEI) within our agency. We believe a diverse workforce enriches our environment and helps us better meet the needs of our employees, customers, and providers. We remain committed to attracting and retaining a diverse workforce and retaining high-performing employees who work collaboratively to carry out the agency's purpose.Alta Mira Specialized Family Services is an Equal Opportunity/Affirmative Action employer. Women, minorities, people with disabilities, and veterans are encouraged to apply.
Worksite address
albuquerque, NM, 87101, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.