Accurately submit insurance claims for all payer types, including government payers, using the claims clearinghouse and patient accounting systems. This role is responsible for researching and resolving payer edits and rejections, following up on denials, processing appeals, and supporting accounts receivable workflows to ensure timely and accurate claim submission. The position also includes customer service, correspondence processing, reconciliation of activities, and collaboration with internal departments and external payers to resolve billing issues and improve workflow efficiency.
Work location: Reverend Hugh Cooper Administrative Center in Albuquerque, NM. The role is full-time, non-exempt, and scheduled for day shift.
High school diploma or GED required.
- Short-term training in insurance collections and claims processing
- At least 1 year of experience in insurance follow-up, billing, and collections
- Knowledge of ICD-10, HCPCS, CPT, revenue codes, UB-04, and HCFA 1500 forms
- Understanding of electronic claim processing, including 837 and 835 transactions
- Familiarity with coordination of benefits and Medicare MSPQ
- Knowledge of payer requirements and claim submission processes
- Basic understanding of revenue cycle processes
- Proficiency with Epic, nThrive, FISS/DDE, payer portals, and Microsoft Office Suite preferred
- Strong organizational, problem-solving, verbal, and written communication skills
- Ability to manage high-volume work in a fast-paced environment
- Ability to maintain a HIPAA-compliant confidential workspace at home
- Must have reliable high-speed internet for remote work
Benefits-eligible employees receive a comprehensive package that may include:
- Medical insurance
- Dental insurance
- Vision insurance
- Short-term disability
- Long-term disability
- Group term life insurance
- Optional voluntary benefits
Additional wellness perks include access to an employee wellness rewards program with opportunities to earn gift cards and other rewards through wellness activities.
Location
Albuquerque, New Mexico, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
1 week ago