Top 40 coding specialist Jobs in new mexico

Patient Financial Specialist - Patient Financial Services
Christus Health —Santa Fe, NM
- 8 hour shift
- Medical office experience
- Mid-level
- High school diploma or GED
Program Integrity Auditor
CVS Health —New Mexico
- $46,988 - $122,400 a year
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Health insurance
- Dental insurance
Coding Specialist - Remote
Holy Cross Medical Center —Taos, NM
- Full-time
- Remote
- Spanish
- Anatomy knowledge
- Customer service
Referral / Medical Records Specialist
Roosevelt General Hospital —Portales, NM
- $15.50 - $23.00 an hour
- 8 hour shift
- Computer literacy
- Public speaking
- HIPAA
Quick Apply
Medical Practice Specialist
University of New Mexico —Albuquerque, NM
- $3,844.53 - $5,399.33 a month
- Full-time
- Hybrid work
- Background check
- 7 years
- Research
- Health insurance
- Dental insurance
Senior Manager, Reimbursement - Central (remote)
Ceribell, Inc —Albuquerque, NM
- $184,000 - $210,000 a year
- Email
- Remote
- Analysis skills
- Bachelor's degree
- Critical & Intensive Care
- Employee stock purchase plan
- Paid holidays
Quick Apply
REGISTRATION & ELIGIBILITY SPECIALIST
UNM Hospitals —Albuquerque, NM
- $16.59 - $22.95 an hour
- Part-time
- Hospital
- English
- Mid-level
- Employee discount
Specialist,Clinical Informatics
Oak Street Health —Albuquerque, NM
- $17.00 - $28.46 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Molina Healthcare —Las Cruces, NM
- $29.05 - $67.97 an hour
- Full-time
- RN License
- Mid-level
- Pediatrics
- Health insurance
Records Management Specialist
Bear Canyon Rehabilitation Ctr —Albuquerque, NM
- $21 - $24 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Disability insurance
- Dental insurance
Charge Description Master Specialist - Full Time, Day, Remote
Providence —New Mexico
- $27.20 - $55.37 an hour
- Full-time
- Remote
- Research
- Mid-level
- Finance
- Paid parental leave
- Paid holidays
Reimbursement Specialist
San Juan Regional Medical Center —Farmington, NM
- Full-time
- Computer literacy
- Office
- High school diploma or GED
14d
Billing Research Specialist - Journal Center, (946)
TriCore Reference Laboratories —Albuquerque, NM
- Full-time
- Hybrid work
- Mid-level
- 1 year
- Paid holidays
- Health insurance
Senior Charge Description Master Specialist - Full time, Day, Remote
Providence —New Mexico
- $30.59 - $64.91 an hour
- Full-time
- Remote
- Nursing
- 5 years
- Research
- Paid parental leave
- Paid holidays
8d
Billing Research Specialist - Journal Center, (946)
TriCore —Albuquerque, NM
- Monday to Friday
- Medical office experience
- Research
- Mid-level
- Paid holidays
- Health insurance
Referral Specialist
Roosevelt General Hospital —Portales, NM
- $15.50 - $23.00 an hour
- 8 hour shift
- Spanish
- Hospital
- Computer literacy
Quick Apply
Referral Specialist I
First Choice Community Healthcare INC —Albuquerque, NM
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Billing Specialist
La Casa Family Health Center —Portales, NM
- From $15 an hour
- Full-time
- Bilingual
- Background check
- Word processing
- Health insurance
- Dental insurance
Quick Apply
Medical Billing Specialist
Alta Mira Specialized Family Services —Albuquerque, NM
- From $16 an hour
- Full-time
- Writing skills
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Patient Access Account Specialist I
Presbyterian System Services —Albuquerque, NM
- $15.60 - $22.12 an hour
- Full-time
- Hospital
- HIPAA
- Office
- Disability insurance
- Health insurance
Quick Apply

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Patient Financial Specialist - Patient Financial Services

Christus Health -
Santa Fe, NM

Apply Now

Job Details

Full-time

Qualifications

Customer communication

Full Job Description

Description

Summary:

The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of these positions is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Job works in a cooperative team environment to provide value to internal and external customers.
The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health, and fully supports CHRISTUS Health's Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence and Stewardship.

Responsibilities:

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics.
Ensures PFS departmental quality and productivity standards are met.
Collects and provides patient and payor information to facilitate account resolution.
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission. Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission.
Responds to all types of account inquires through written, verbal, or electronic correspondence.
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within the Revenue Cycle.
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
Meets or exceeds customer expectations and requirements, and gains customer trust and respect.
Compliant with all CHRISTUS Health, payer, and government regulations.
Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
Professional and effective written and verbal communication required.

Billing
Review and work on claim edits.
Works payor rejected claims for resubmission.
Works reports and billing requests.
Demonstrates strong knowledge of standard bill forms and filing requirements.
Exhibits and understanding of electronic claims editing and submission capabilities.
Correct claims in RTP status in the designated claim system per Medicare guidelines.
Maintains an active knowledge of all governmental agency requirements and updates.

Collections
Collect balances due from payors ensuring proper reimbursement for all services.
Identifies and forwards proper account denial information to the designated departmental liaison. Dedicated efforts to ensure a proper denial resolution and timely turnaround.
Maintain an active knowledge of all governmental agency requirements and updates.
Works collector queue daily utilizing appropriate collection system and reports.
Demonstrates knowledge of standard bill forms and filing requirements.
Identify and resolve underpayments with the appropriate follow-up activities within payor timely guidelines.
Identify and resolve credit balances with the appropriate follow-up activities within payor timely guidelines.
Identify and communicate trends impacting account resolution.
Corrects claims in RTP status in the designated claim system per Medicare guidelines.
Initiates Medicare Redetermination, Reopening and/or Reconsideration as needed.
Working knowledge of the CMS 838 credit balance report.

Vendor Coordinator
Acts as liaison between external vendors and Revenue Cycle departments to monitor external vendor activities and ensures accounts placed for collection are received timely and acknowledged as received by the vendor.
Manages account transfers between CHRISTUS Health and the various contracted vendors.
Coordinates with Revenue Cycle Managers (Collections, Billing, Cash Applications, etc.) to review of selected accounts prior to transfer and placement with an external third party.
Ensures accounts deemed as closed or uncollectible by the vendors are properly reflected in applicable AR systems.
Maintains department reports measuring agency performance, which includes account placements, collections, returns, and performance metrics.
Advises vendors of CHRISTUS Health billing and collection procedures and ensures accounts identified with third-party coverage are properly billed by the entities as requested by the vendor.
Audits all vendor remittances and ensures all fees billed to CHRISTUS Health are in accordance with the contract and include supporting documentation of payments posted to the account on the patient accounting systems.
Recalls accounts incorrectly placed and/or as requested by Revenue Cycle Managers with the external vendor and returns accounts to open receivables as appropriate.
Creates tools, reports, or documentation that enables Revenue Cycle Leadership to understand, manage, and measure their vendor's performance and to prioritize important relationships.
Performs account reconciliation between CHRISTUS Health system and vendor system.

Job Requirements:

Education/Skills

HS Diploma or equivalent years of experience required.
Post HS education preferred.

Experience

1-3 years of experience preferred.
Experience working within a multi-facility hospital business office environment preferred.
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience.
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
Experience with Medicare & Medicaid billing processes and regulations preferred.
Understanding of Medicare language.
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred.

Licenses, Registrations, or Certifications

None required.

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

Apply Now

Refine Your Search

coding specialist jobs in new mexico

Patient Financial Specialist - Patient Financial Services

Program Integrity Auditor

Coding Specialist - Remote

Referral / Medical Records Specialist

Medical Practice Specialist

Senior Manager, Reimbursement - Central (remote)

REGISTRATION & ELIGIBILITY SPECIALIST

Specialist,Clinical Informatics

Medical Review Nurse -UM/Post Appeals (Michigan RN license req)

Records Management Specialist

Charge Description Master Specialist - Full Time, Day, Remote

Reimbursement Specialist

Billing Research Specialist - Journal Center, (946)

Senior Charge Description Master Specialist - Full time, Day, Remote

Billing Research Specialist - Journal Center, (946)

Referral Specialist

Referral Specialist I

Billing Specialist

Medical Billing Specialist

Patient Access Account Specialist I

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