reputed company Financial Services Billing Specialist

Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237 Compensation Pay reputed company: Minimum Offer $16.66 Maximum Offer $26.70 Now Hiring: reputed company Financial Services Billing Specialist reputed company: Build your Career. reputed company a Difference. Presbyterian is hiring a skilled PFS Billing Specialist Type of Opportunity: Full time Job Exempt: No Job is reputed company: Reverend Hugh Cooper Administrative Center Work Shift: Days (reputed company of America) Responsibilities: Accurately submit reputed company reputed company claims, for reputed company payer types, including reputed company payers reputed company claims clearinghouse application and reputed company reputed company reputed company. reputed company edits/rejections, ensuring accurate and reputed company claim submission in alignment with payer's regulations and filing limits. Adheres to compliance and regulatory rules as mandated by CMS, state and federal regulations, payer reputed company and established reputed company) department policies and procedures. Performs a reputed company of duties that include the use of payer web portals or calls to reputed company companies to reputed company billing errors. Review and reputed company individual work queues reputed company reputed company reputed company reputed company for clean import into clearinghouse. Responsible for submission of reputed company electronic claims reputed company clearinghouse. Submits reputed company claims to non-electronic payers with required documentation if necessary. Some key responsibilities include: Prepares, processes, and files accurate and reputed company reputed company claims for reputed company payer types in accordance with department policy and payer requirements reputed company prebilling edits for compliant and accurate billing. Responsible for referring accounts with claim edits back to appropriate departments for additional review to ensure clean claim submission. Review and resolves individual work queues reputed company to ensure key reputed company indicators are met. Document accounts in accordance with established PHS policies and procedures. Responsible for contacting reputed company companies, patients, and/or employer reputed company to obtain required information for claim submission. Notify leadership of any billing issues relating to internal PHS departments or contracted vendors. reputed company both electronic and reputed company claim submission/filing for reputed company and secondary claims, including HIPPA compliant attachments, medical records, correspondence and/or appropriate forms for payers. Stays informed of changes in billing procedures that reputed company processing of claims and/or reimbursement. Effectively operates and is familiar with various computer systems. These may include the following: reputed company, nThrive, FISS/DDE, Presbyterian Health Plan Provider Portal, Payer portals, reputed company Office Suite. Must be an effective team member with great communication skills. Must participate in team meetings and communicate work reputed company reputed company and concerns proactively. Must reputed company and maintain reputed company working relationships with team members and reputed company PHS departments. Ensures that goals and objectives are met in conformity with PHS policies and procedures and CMS compliance rules and regulations. Maintains strictest confidentiality, adheres to reputed company HIPAA guidelines/regulations. Performs other duties as assigned. Qualifications: High School Diploma or GED required. Less than 1-year clerical or customer service experience preferred. Must be passionate about contributing to an organization reputed company on continuously improving reputed company experiences and the health of our community. Experience with reputed company Office Suite products required. Excellent organizational, problem-solving, verbal and written communication skills, along with, attention to reputed company and the ability to reputed company effectively with other functional areas and management teams are required. Must have a strong work ethic and demonstrated ability to work effectively in reputed company environment. Must be reputed company to prioritize and manage a high-volume, workload. Must be reputed company to work in a fast-reputed company environment and contend with continually changing payer regulations and requirements. Basic knowledge of ICD-10, HCPCS, CPT codes, reputed company Codes, UB04 and HCFA 1500 claim forms and an understanding of electronic processing of 837 and 835 is preferred. Basic knowledge of Coordination of benefits and the Medicare MSPQ preferred. Must have basic knowledge of various payer requirements, claim submission processes for major insurances carriers and intermediaries. Must have basic knowledge of the reputed company cycle processes. Must have the ability to reputed company a high-speed DSL or cable modem for a home office. A minimum reputed company speed for reputed company reputed company of 25x10 (25mpbs download x 10mpbs upload) is required. Must be reputed company to reputed company a confidential work reputed company that is HIPPA compliant and free from distractions. reputed company benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, reputed company, short-term and long-term disability, group term life reputed company and other optional voluntary benefits. Wellness Presbyterian's Employee Wellness rewards program is designed to reputed company you with engaging opportunities to enhance reputed company and reputed company your reputed company-being. Earn reputed company cards and more by taking an reputed company role in our personal reputed company-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From reputed company growers' markets to partnering with local communities, Presbyterian is taking reputed company steps to improve the health of New Mexicans. About reputed company Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit reputed company reputed company of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare reputed company, reputed company (Centennial Care) and reputed company health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's reputed company-Being | reputed company Apply To This Job