Medical Billing Specialist

Job Description

Job Description

Alta Mira is a nonprofit organization that has existed since 1985.  We provide services to all age groups.  We support over 800 children annually through our Early Intervention Program and 1500 adults in our Family Support Services.  We employ over 60 employees and 250 independent contractors.  We are an excellent employer with a high level of schedule flexibility and very rich benefits.  We are one of New Mexico’s Top Workplaces in the category of work/life balance.   

This is a full-time, 40-hour-per-week position.

Some of our benefits include:

Paid Time Off – from 150 to 304 hours a year

Paid Sick Leave - 1 hour for every 30 hours worked

Paid Holidays – 5 holidays per year

Winter Break – agency is closed from December 24th through New Year’s Day (paid)

Educational Leave – 40 hours after 6 months of employment

Bereavement Leave – up to 24 hours

Medical – 3 plans to choose from through BCBS, ranging in premiums from $0 to $159.21.

Dental - free

Vision – vision through VSP at $1.67

SIMPLE IRA – Matched $1 for $1 by the agency for the first 3% of employees' annual pay

Group life and Long-Term Disability – agency pays for 25K

Individual life and Short-Term Disability – available, paid by employee

Mileage reimbursement - $0.725 per mile, if required to drive during work hours for work purposes

Discount Program

We are a 501(c)(3) program that allows employees to enroll their student loans in the Public Service Loan Forgiveness through the Federal government. 

Skills 

· Accuracy

· Excellent computer skills, proficiency in Excel and Word, knowledge of I Therapy Docs a plus

· Excellent communication skills (written and verbal)

· Self-Starter

· Detail-oriented

· Ability to work independently and complete assigned tasks within identified time frames and with minimal supervision

· Team player

· Excellent organizational skills

· Filing

· 10 keys by touch

· Scanning

· Ability to juggle multiple tasks

· Strong accounting knowledge

· Customer service

· Time Management

Job Functions

· Performs day-to-day functions of the accounting/billing department

· Communicates promptly and courteously with staff and contractors

· Monthly billing reconciliation for various accounts and posts payments

· Transmits electronic claim files to the clearinghouse as needed

· Data entry

· Research and resolve discrepancies, denials, and appeals on all accounts

· Follow up on delinquent claims in a timely manner and correct clearinghouse errors

· Assists with annual audit

· Conduct coding training sessions and periodically update providers on specific coding issues, topics, and updates.

· Responsible for managing client accounts and collections

· Performs duties in an organized, efficient, and timely manner

· Advises Operations Director regarding specific billing issues

· Works with the Billing Team through the monthly billing process

o Create contractor payment invoices

o Create billing reimbursement invoices

o Perform data-entry as needed

o Reconciles billing reports

o Assist in running the software billing process and submittal

o Assist in the follow-up process regarding payment denials

· Maintains EVV process

o Create and maintain EVV worker and user profiles in Authenticare software

o Process EVV billing and follow-up process

· Manage all aspects of billing, state partners, and other stakeholders, including:

Creation of 837p for Medicaid and upload into Conduent Billing:

o Mi Via

o Authenticare/Palco

o Supports Waiver

o MOU’s

o Private Pay for Respite Home Meals

o Reconciliation of private pay for RH meals

o Monitor for, correct, and rebill any denials

o Communicate with Operations Director the expected amounts receivable for each payer to enter into Intaact

At Alta Mira Specialized Family Services, we value the diversity of our workforce and actively seek opportunities to incorporate Diversity, Equity, and Inclusion (DEI) within our agency.  We believe a diverse workforce enriches our environment and helps us better meet the needs of our employees, customers, and providers.  We remain committed to attracting and retaining a diverse workforce and retaining high-performing employees who work collaboratively to carry out the agency's purpose.

Alta Mira Specialized Family Services is an Equal Opportunity/Affirmative Action employer.  Women, minorities, people with disabilities, and veterans are encouraged to apply.