The University of New Mexico Health Sciences Center

Account Operations Tech 1

The University of New Mexico Health Sciences Center

full-time

Posted on:

Location Type: Office

Location: AlbuquerqueNew MexicoUnited States

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Salary

💰 $36,399 - $44,754 per year

Job Level

About the role

  • 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.

Requirements

  • High school diploma or GED with at least 1 year of experience that is directly related to the duties and responsibilities specified.
  • Completed degree from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.
  • Verification of education and licensure (if applicable) will be required if selected for hire.
Benefits
  • Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package.
  • Insurance Coverage: Includes medical, dental, vision, and life insurance.
  • Additional Perks: Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
billingclaims processingelectronic claims submissionsdiagnosis codestreatment codesmodifiersinsurance verificationdata entryCMS-1500 formbilling software
Soft Skills
attention to detailconfidentialityorganizational skillscommunication skillsproblem-solving
Certifications
high school diplomaGED