Accounts Receivable Tech II

About the position

UNM Medical Group, Inc. is seeking a full-time Accounts Receivable Tech 2 to join our Revenue Department. This is a Remote Position. The selected candidate must have a permanent address and live in New Mexico or be willing to relocate to New Mexico. The Accounts Receivable Tech 2 will be posting receipts into our billing system from EOP (Explanation of Payment) from insurance companies and patient payments. We utilize electronic postings from 835's as well as manual posting. We measure staff by a weekly average of productivity measurements and quality checks to ensure we are meeting the timing requirements with accuracy. We are a Work From Home department meaning that we train initially Face to Face and then on Zoom and/or Teams and work Monday to Friday on a schedule that meets the Business Needs of the Organization and hopefully the needs of the Employee. have weekly team meetings and monthly 1:1 meetings for review of productivity and quality. While we receive many Receipts (deposits/payments) from many different insurance companies, each poster will start with a few insurances and master those and then be introduced to others until the employee can post most payers. While this is based on individual experience it is a 4 - 7 month process. In addition, this position works credits or overpayments from insurance companies and/or patients as they post. We also have QC's which are system quality checks programmed into the Billing System that will flag the poster if something looks off. These QC's are run after each batch and corrected prior to completing each batch.

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.

Requirements

• 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.
• Knowledge of posting payments and resolving denials via 835/EOB/EOP, collecting and/or posting payments, and processing claims/bills/invoices is preferred.

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.