Billing Coordinator
Pinnacle Partners In Medicine - Las Cruces, NM

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Job Title: Billing Coordinator Location: Las Cruces, NM Req #: 22466 Company: AMR - South Reports To: Operations Manager Posting End Date: Department: Operations FLSA Status: Non-Exempt

Essential Duties and Responsibilities:
  • Maintain billing process to ensure accurate and timely billing/claim submissions in many different formats.
  • Maintain, analyze and compile monthly/quarterly reports in timely manner for submission to the health plan.
  • Tracks health plan membership and utilization to determine rates of payment for capitated plans.
  • Responsible for tracking payment and making deposits of money received from health plans and providers.
  • Responsible for issuing ACH/EFT payments to vendors and verifying check status with the bank.
  • Notify supervisor when there is a change in the client’s payors and communicate all changes to affected departments.
  • Assist pre-billing departments with researching and resolving reimbursement issues specific to clients.
  • Act as a resource for Administration and Operations in answering client specific issues.
  • Maintain and distribute weekly, monthly and quarterly reports to management for review.
  • Adhere to all company policies and procedures.

Minimum Qualifications:

Education/Licensing/Certification:
  • High school diploma or equivalent (GED). Some advanced education preferred.
Experience:
  • One to two years accounts receivable experience required.
  • Previous experience in healthcare billing/coding or claims processing preferred.

Knowledge and Skills:
  • Must be proficient with Microsoft Office applications.
  • Strong alpha-numeric data entry skills
  • Strong attention to detail.
  • Organized, detail oriented with excellent follow through abilities.
  • Communicate effectively, both orally and in writing
  • Good computer skills including the ability to be on multiple screens at once as well as use the zoom in and zoom out feature.
  • Payor policies, requirements and necessary forms for multiple states.
  • HIPAA requirements.
** CB DO NOT REMOVE **

Pinnacle Partners In Medicine - 12 months ago - save job - block
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