Medical Billing Specialist

Alta Mira NM•Albuquerque, NM

About The Position

Alta Mira is a non-profit organization that has been supporting individuals with developmental or intellectual delays or disabilities, and their families, 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 $2.05 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 - $0.70 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. 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.

Requirements

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

Responsibilities

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

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 $2.05
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 - $0.70 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.