Assistant Business Office Manager

Santa Fe Care; Santa Fe (NM); On-site; USD 36,000 - 60,000; Full time

Job summary

Santa Fe Care is seeking an Assistant Business Office Manager to prioritize and batch material for data entry, post claims in the Practice Management System, and assist with billing and statement processing. This role demands accuracy and efficiency in high-volume environments.

Responsibilities include processing insurance claims, resolving denials, posting payments, assisting with Sliding Fee Scale applications, and supporting audits and policy updates; candidates should have Medical

Qualifications

• Experience in coding and charge entry.
• Knowledge of medical terminology.
• Ability to perform high-volume data entry.
• Proficiency with computer systems.
• English reading and writing fluency.

Responsibilities

• Process insurance claims for various insurances and self-pay patients.
• Research and communicate with insurances and third parties regarding claim denials.
• Make billing/coding corrections and refile denied claims for reprocessing.
• Help processing and posting 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 balances.
• Work with patients to establish self-pay arrangements and payment plans.
• Assist with Sliding Fee Scale applications and audit processes.
• Assist with reports to maintain federal funding as requested.
• Assist with updating policies, procedures, and forms.

Skills

Medical terminology

Coding and charge entry

Computer knowledge

English proficiency (read, write, and

Tools

Practice Management System

Job description

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.