Medical Billing Specialist

Alta Mira Specialized Family Services. 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. Benefits 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 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 Create contractor payment invoices Create billing reimbursement invoices Perform data-entry as needed Reconciles billing reports Assist in running the software billing process and submittal Assist in the follow-up process regarding payment denials Maintains EVV process Create and maintain EVV worker and user profiles in Authenticare software 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:Mi ViaAuthenticare/PalcoSupports WaiverMOU'sPrivate Pay for Respite Home MealsReconciliation of private pay for RH mealsMonitor for, correct, and rebill any denialsCommunicate 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. #J-18808-Ljbffr