Assistant Business Office Manager

Santa Fe Care; Rio Rancho (NM); Sur place; USD 25 000 - 39 000; Plein temps

Résumé du poste

Santa Fe Care Center is seeking an Assistant Business Office Manager to handle high‑volume data entry, posting claims, and processing statements in our practice management system. The role supports insurance billing for Medicare/Medicaid and patient accounts, with responsibilities for denials, payments, and Sliding Fee Scale applications.

You will collaborate with the Business Office Manager, coordinate with insurers, and assist with audits and policy updates while upholding the center's mission

Qualifications

• Proficient in medical terminology and insurance terminology.
• Strong computer skills and data-entry accuracy.
• Experience coding and entering charges for claims.

Responsabilités

• Process insurance claims to various types of insurances and self-pay patients
• Research and communicate with insurances and third parties regarding claim denials
• Make necessary billing/coding corrections and refile denied claims for reprocessing
• Help Business Office Manager process and post patient payments
• Prepare and mail weekly patient statements
• Answer patient inquiries regarding account status
• Identify, research and resolve patient billing issues
• Contact patients regarding collections of past due account balances
• Work with patients to establish self-pay arrangements and payment plans
• Review and research bad address files
• Assist with provider insurance credentialing duties
• Assist with Sliding Fee Scale application and audit processes
• Assist with reports to maintain federal funding as requested
• Assist with updating policies, procedures, and forms
• Participate in staff meetings and other meetings as instructed
• Adhere to the Mission and Values of Santa Fe Care Center
• May be asked to perform other duties that align with mission, including but not limited to participation on clinical committees, providing education, Quality Review and/or other activities.

Connaissances

Medical Terminology

Computer knowledge

Coding and charge entry experience

Description du poste

Need to have experience in Medicare and Medicaid and insurance billing.

Position Purpose:

This position is responsible for prioritizing and batching material for data entry which requires knowledge of technical material. Must be capable of high-volume data entry. Assistant Business Office Manager will review, post, and submit claims that are compiled on a daily basis through the Practice Management System. This position will also be responsible for statement processing and posting payments and adjustments to patient accounts and assisting with Sliding Fee Scale applications and audit processes.

Essential Functions of Position: The following information is intended to be representative of the essential functions performed by incumbents in this position and is not all-inclusive.

• Process insurance claims to various types of insurances and self-pay patients
• Research and communicate with insurances and third parties regarding claim denials
• Make necessary billing/coding corrections and refile denied claims for reprocessing
• Help Business Office Manager process and post patient payments
• Prepare and mail weekly patient statements
• Answer patient inquiries regarding account status
• Identify, research and resolve patient billing issues
• Contact patients regarding collections of past due account balances
• Work with patients to establish self-pay arrangements and payment plans
• Review and research bad address files
• Assist with provider insurance credentialing duties
• Assist with Sliding Fee Scale application and audit processes
• Assist with reports to maintain federal funding as requested
• Assist with updating policies, procedures, and forms
• Participate is staff meetings and other meetings as instructed
• Adhere to the Mission and Values of Santa Fe Care Center
• May be asked to perform other duties that align with mission, including but not limited to participation on clinical committees, providing education, Quality Review and/or other activities.

Education / Requirements:

• Computer knowledge
• Medical Terminology
• Experience in coding and charge entry
• Ability to perform each position responsibility satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position.
• Ability to understand that safety is a condition of employment. Unsafe acts or conditions will be reported to the supervisor.
• Must be able to read, write and speak English.