Account Operations Tech 3

The UNM Medical Group, Inc. is hiring for an Account Operations Tech 3 to join our team at Truman Health Services. This opportunity is a full-time day shift opening located in Albuquerque, New Mexico. Hybrid Position-Selected candidate must have a permanent address and live in New Mexico or be willing to relocate to New Mexico.

Schedule: Monday - Friday 8am -5pm, with the ability to work from home 1-2 days per week.

Minimum $38,916 - Midpoint $48,651*

*Salary is determined based on years of total relevant experience.

*Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.

Summary

• Under general supervision, performs a variety of complex functions to resolve billing problems and issues.
• Maintains appropriate ledgers.
• Researches and provides reports on resolved invoices.
• Performs complex analyses of patient accounts, payments, and remittance advices from third-party payers.
• Posts complex account adjustments, transfers, and other actions.
• Initiates correspondence to responsible parties or third-party payers, as applicable.
• Provides day-to-day guidance and mentorship to lower-level Patient Accounts Techs, as appropriate.

Minimum Job Requirements of an Account Operations Tech 3:

High school diploma or GED with at least 5 years 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.

About Truman Health Services:

• Compassionate & Evidence-Based Treatments: Join an interdisciplinary team that provides patient centered medical care for HIV and gender-affirming primary care. We also provide consult services for Hep-C and PrEP and strive to ensure the highest standards in health care.
• Holistic & Integrated Approach: Be part of an organization that takes a comprehensive approach, addressing patients' medical, social, and mental health needs with a commitment to their overall well-being.
• Inclusive & Impactful: With locations in both Albuquerque and Roswell, NM, contribute to a dynamic, LGBTQIA+ affirming environment where you can make a real difference in the lives of New Mexicans.

UNM Medical Group, Inc. welcomes people with lived experience to apply.

Priority will be provided to candidates who are:

* Experienced providing Community Health Worker services to medically and socially complex populations.

* Experienced providing social support services to people living with HIV/AIDS.

* Experienced working with the LGBTQ+ community.

* Experienced working in a community based multi-disciplinary setting.

* Bilingual English/Spanish.

Duties and Responsibilities of an Account Operations Tech 3:

1. Analyzes and investigates reimbursements from third party payors, such as Medicare, Champus, Medicaid, Salud, HMO's, and other payors, to determine if contracted amount has been allowed; researches and analyzes third party payor remittance documentation to determine priority of payment and application of adjustments.
2. Reconciles and applies changes to patient invoices and account to correct account issues; initiates inquiries, either by phone or in writing, to third party payors, and/or patients to resolve reimbursement and credit balance issues.
3. Responds to requests from third party payors and/or patients regarding reimbursement problems and issues.
4. Interacts with and advises internal staff regarding billing and documentation policies, procedures, and serves as liaison with other department representatives to resolve reimbursement and/or credit balance issues.
5. Prepares adjustment and refund request forms.
6. Collects, analyzes, and summarizes data for preparation of statistical reports; creates and maintains specified data files and logs, maintains computerized systems for collection and tracking of data, and assists in the preparation of reports.
7. Ensures strict confidentiality of patient medical and financial records, in compliance with federal and state patient privacy legislation.
8. Assists in departmental problem solving, project planning, and the development and execution of departmental goals and objectives.
9. May provide task-specific support and guidance to other techs, as appropriate.

Why Join UNM Medical Group, Inc.?

Since our creation in 2007, our dynamic organization has continued to grow and form strong partnerships within the UNM Health system. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence.

Diversity, Equity, and Inclusion Commitment:

We are dedicated to embracing and promoting diversity while fostering well-being across New Mexico through cultural humility and respect for everyone.

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.