Claims Director jobs in New Mexico

Description

Submits claims and billings electronically using patient portals. Process EOBs.  Maintains constant communication with MCO’s to ensure timely filing. Advocate with MCO’s for insurance rate reimbursement. Track client payments and insurance claim forms.

Requirements

Full-time, non-exempt position

Starting pay: $16.50 per hour

Management reserves the right to add, modify, change, or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the job.

• Applies all payments to clients’ accounts. Bills all invoices to contracted agencies

• Maintains medical records.Runs weekly reports and makes corrections to bill out clean claims.

• Maintains a spreadsheet of unpaid claims.

• Communicates with the Billing Director and Executive Director in the absence of the Billing Director.

• Assists support staff and direct service providers and notes when corrections need to be done.

• Utilizes knowledge of contract rates and service codes.

• Use spreadsheets to track reimbursements, reimbursement rates and needed to follow-up

• Coordinate with staff to ensure correct billing codes are used.

• Input billing codes into the electronic health system

• Communicate with Accounting Director to cross-reference financial reports

• Maintain HIPPA and client confidentiality at all times

• Regular and consistent attendance for the assigned work schedule is essential.

A high school diploma or GED is required. Certificate or degree in billing and coding preferred.

Six months or more of billing experience is required.

Benefits:

· Health Insurance

· Free Dental Insurance

· Free Vision Insurance

· 401(K) with employer matching (4%)

· Life Insurance up to $15,000

· Long Term Disability

· Paid Time Off (PTO)

· Holidays (8-11)

·License Reimbursement

· Employee Assistance Program

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