Top 28 Medical specialist Jobs in Santa Fe Nm

Patient Financial Specialist
CHRISTUS Health —Santa Fe, NM
- From $18.22 an hour
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
11d
Minimally Invasive Clinical Specialist I
SpecialtyCare —Santa Fe, NM
- Weekends as needed
- CPR Certification
- Computer literacy
- BLS Certification
- Health insurance
- Dental insurance
Patient Access Specialist
Southwest CARE Center —Santa Fe, NM
- Full-time
- Mid-level
- Clinic
- Health insurance
- Dental insurance
Quick Apply
4d
Patient Experience Specialist
ALLEVIO CARE, LLC —Santa Fe, NM
- Full-time
- 1 year
- Entry level
- Paid holidays
- Health insurance
Quick Apply
Clinical Support Specialist - Santa Fe New Mexico
MTC Care —Santa Fe, NM
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Quick Apply
Credentialing and Enrollments Specialist
Modena Allergy + Asthma —Santa Fe, NM
- Overtime
- Remote
- Ability to walk for extended periods
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Patient Care Delivery Specialist / Medical Equipment Technician
A&R Medical Supply —Santa Fe, NM
- From $17.50 an hour
- 8 hour shift
- Background check
- Clean driving record
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
2d
Credentialing Specialist
La Familia Medical Center —Santa Fe, NM
- Part-time
- Mid-level
- High school diploma or GED
- Organizational skills
Quick Apply
Licensed Professional Clinical Counselor
Deer Oaks - The Behavioral Health Solution —Santa Fe, NM
- $35 an hour
- Choose your own hours
- Adults
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
ISUD Support Specialist
El Centro Family Health —Espanola, NM
- Weekends as needed
- Adults
- Office
- High school diploma or GED
- Paid holidays
- Loan repayment program
Quick Apply
Dental Office Treatment Coordinator / Insurance Specialist
Verve Dental —Los Alamos, NM
- $20 - $26 an hour
- Full-time
- Spanish
- Dental office
- HIPAA
- 401(k)
- Paid time off
Quick Apply
10d
Billing Specialist
El Centro Family Health —Espanola, NM
- Weekends as needed
- Spanish
- Computer literacy
- English
- Paid holidays
- Health insurance
Quick Apply
Remote Expert EPIC Configuration Analyst (HIM)
Presbyterian System Services —Santa Fe, NM
- $100,152 - $156,832 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
3d
Medical Staff Support Specialist
Presbyterian Healthcare Services —Espanola, NM
- $17.46 - $25.95 an hour
- Full-time
- Hospital
- Office
- Microsoft Office
- Disability insurance
- Health insurance
Quick Apply
5d
Chemical Safety & Toxicology Expert – AI Trainer
micro1 —United States
- $50 - $90 an hour
- Contract
- 5 years
- Analysis skills
- Doctor of Philosophy
- Flexible schedule

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Patient Financial Specialist

CHRISTUS Health -
Santa Fe, NM

Quick Apply

Job Details

Full-time
From $18.22 an hour
11 days ago

Benefits

Health savings account
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching

Qualifications

Customer communication
Customer inquiry handling
High school diploma or GED

Full Job Description

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 position 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.

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.
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.

Pay: From $18.22 per hour

Benefits:

401(k) matching
Dental insurance
Health insurance
Health savings account
Paid time off
Vision insurance

Application Question(s):

Do you have experience in Epic?
Can you briefly describe your experience with medical billing, including the types of claims, billing systems, and insurance payers you've worked with?

Education:

High school or equivalent (Required)

Work Location: In person

Quick Apply

Refine Your Search

medical specialist jobs in santa fe nm

Patient Financial Specialist

Minimally Invasive Clinical Specialist I

Patient Access Specialist

Patient Experience Specialist

Clinical Support Specialist - Santa Fe New Mexico

Credentialing and Enrollments Specialist

Patient Care Delivery Specialist / Medical Equipment Technician

Credentialing Specialist

Licensed Professional Clinical Counselor

ISUD Support Specialist

Dental Office Treatment Coordinator / Insurance Specialist

Billing Specialist

Remote Expert EPIC Configuration Analyst (HIM)

Medical Staff Support Specialist

Chemical Safety & Toxicology Expert – AI Trainer

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