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Accounts Receivable Specialist - Claims
PayCompetitive
LocationAlbuquerque/New Mexico
Employment typeFull-Time
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Job Description
- Req#: 300001113711513
Employer Industry: Healthcare Billing Services
Why consider this job opportunity:
- Employee referral bonus of $100
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Engage in meaningful work that contributes to accurate billing and reimbursement in healthcare
- Chance to enhance your skills in automated business applications and data entry
What to Expect (Job Responsibilities):
- Perform a variety of activities to ensure accurate, compliant, and timely billing for health center services
- Follow up on claims and contact Managed Care Organizations (MCOs) as needed
- Review electronic claims submissions and conduct eligibility verifications
- Ensure appropriate reimbursement from all payor sources
- Maintain knowledge of healthcare billing processes and regulations
What is Required (Qualifications):
- High school diploma or equivalent required
- Minimum of three years of healthcare cash posting or billing experience required, or a combination of education and/or experience in a related field totaling three years
- Knowledge of automated business applications, including word processing, spreadsheet, and database management applications required
- Data entry experience required
- Knowledge of Medicare, Medicaid, and third-party insurance preferred
How to Stand Out (Preferred Qualifications):
- Experience with healthcare billing and coding
- Familiarity with managing claims and understanding payer requirements
- Proficiency in using electronic health record (EHR) systems
- Previous experience working with Managed Care Organizations (MCOs)
- Strong analytical and problem-solving skills
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