The University of New Mexico Health Sciences Center

Operations

• Performs a variety of routine day-to-day operations related to the administration of billing accounts for a defined University medical service or billing agent.
• Researches and prepares billings for initial electronic claims submissions.
• Verifies benefits eligibility and coverage for treatments, hospitalizations, and procedures.
• Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information.
• Insures claim information is complete and accurate.
• Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing.
• Identifies and bills secondary or tertiary insurances.
• Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form.
• Ensures strict confidentiality of patient medical and financial records, in compliance with federal and state patient privacy legislation.
• Follows established departmental policies, procedures, and objectives.

Account Operations Tech 1