Careers At UNM Medical Group

Account Operations Tech 3 - Truman

Department: Truman Admin
Location: Albuquerque, NM

UNM Medical Group, Inc. is hiring for an Account Operations Tech 3 to join our Truman Health Services team. This opportunity is a full-time day shift opening located in Albuquerque, New Mexico.

Summary

Under general supervision, performs a variety of complex functions to resolve involved billing problems and issues, and maintains appropriate ledgers. Researches and provides reports on resolved invoices. Performs complex analyses of patient accounts, patient payments, and remittance advices from third party payers; posts complex account adjustment, transfers, and other actions. Initiates correspondence to responsible parties or third party payers, as applicable. Provides day-to-day guidance and mentorship to lower level Patient Accounts Techs, as appropriate.             

Minimum Job Requirements of a Account Operations Tech 3

High school diploma or GED with at least 5 years of experience that is directly related to the duties and responsibilities specified. Verification of education and licensure (if applicable) will be required if selected for hire.

About Truman Health Services:

Truman Health Services is a NCQA Patient Centered Medical Home which provides the highest level of care and latest treatment options for New Mexicans living with HIV, requiring gender services or seeking PrEP. We offer a variety of treatment services utilizing a holistic approach towards supporting our patientsí medical, social and mental health needs. Truman Health Services is seeking an experienced candidate to serve as an Account Operations Tech III.

UNM Truman Health Services is seeking a dedicated, enthusiastic candidate with an overachieving attitude and enhanced work ethic who can handle the responsibilities of an Account Operations Tech III.  Candidate must be an excellent communicator with a desire to be part of a great team. 

Duties and Responsibilities of a Account Operations Tech 3:

  1. Analyzes and investigates reimbursements from third party payors, such as Medicare, Champus, Medicaid, Salud, HMO's, and other payors, to determine if contracted amount has been allowed; researches and analyzes third party payor remittance documentation to determine priority of payment and application of adjustments.
  2. Reconciles and applies changes to patient invoices and account to correct account issues; initiates inquiries, either by phone or in writing, to third party payors, and/or patients to resolve reimbursement and credit balance issues.
  3. Responds to requests from third party payors and/or patients regarding reimbursement problems and issues.
  4. Interacts with and advises internal staff regarding billing and documentation policies, procedures, and serves as liaison with other department representatives to resolve reimbursement and/or credit balance issues.
  5. Prepares adjustment and refund request forms.
  6. Collects, analyzes, and summarizes data for preparation of statistical reports; creates and maintains specified data files and logs, maintains computerized systems for collection and tracking of data, and assists in the preparation of reports.
  7. Ensures strict confidentiality of patient medical and financial records, in compliance with federal and state patient privacy legislation.
  8. Assists in departmental problem solving, project planning, and the development and execution of departmental goals and objectives.
  9. May provide task-specific support and guidance to other techs, as appropriate.
  10. Performs miscellaneous job-related duties as assigned.

About UNM Medical Group, Inc.

UNM Medical Group, Inc. (UNMMG) is the practice plan organization for physicians and other medical providers associated with the UNM Health Sciences Center. UNMMG is a New Mexico non-profit corporation and is an equal opportunity employer. UNMMG strives to mitigate health disparities brought about by technology; we aim to reach underrepresented populations, making healthcare more equitable and accessible for all of the people in New Mexico; we have a demonstrated commitment to diversity, equity, inclusion, and student success as well as working with broadly diverse communities.

Benefits:

UNMMG offers a competitive salary and an attractive benefit package which includes medical, dental, vision, and life insurance as well as tuition assistance, generous paid time off plan and 403b retirement for benefits eligible employees.

Apply to our Account Operations Tech 3 opportunity with UNM Medical Group, Inc. and a recruiter will contact you shortly!

Notice of Equal Opportunity Employment

We are an equal opportunity employer/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, national origin, sexual orientation, gender identity, marital status, disability, protected veteran status, or any other characteristic protected by law. We are a drug and alcohol free employer.

We are committed to providing reasonable accommodations to individuals with disabilities in the employment application process. If you need an accommodation due to disability to use our online system to apply with the UNM Medical Group, send an email to accommodations@unmmg.org.

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