Assistant Business Office Manager

Santa Fe Care Center; Santa Fe (NM); On-site; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a detail-oriented Assistant Business Office Manager to oversee insurance claims and patient billing processes. This role demands strong knowledge of Medicare, Medicaid, and insurance billing, along with exceptional data entry skills. You'll be responsible for processing claims, resolving billing issues, and assisting with various administrative tasks. If you thrive in a fast-paced environment and have a passion for helping others, this opportunity offers a chance to make a meaningful impact in the healthcare sector while working within a supportive team committed to excellence.

Qualifications

• Must have experience in Medicare, Medicaid, and insurance billing.
• Excellent communication and attention to detail are essential.

Responsibilities

• Process and post insurance claims and patient payments.
• Research and resolve patient billing issues and claim denials.
• Assist with Sliding Fee Scale applications and audits.

Skills

Medicare and Medicaid knowledge

Insurance billing

High-volume data entry

Communication skills

Attention to detail

Medical Terminology

Coding and charge entry

Education

High School diploma or equivalent

Tools

Practice Management System

Computer software

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.

1. Process insurance claims to various types of insurances and self-pay patients
2. Research and communicate with insurances and third parties regarding claim denials
3. Make necessary billing/coding corrections and refile denied claims for reprocessing
4. Help Business Office Manager process and post patient payments
5. Prepare and mail weekly patient statements
6. Answer patient inquiries regarding account status
7. Identify, research and resolve patient billing issues
8. Contact patients regarding collections of past due account balances
9. Work with patients to establish self-pay arrangements and payment plans
10. Review and research bad address files
11. Assist with provider insurance credentialing duties
12. Assist with Sliding Fee Scale application and audit processes
13. Assist with reports to maintain federal funding as requested
14. Assist with updating policies, procedures, and forms
15. Participate in staff meetings and other meetings as instructed
16. Adhere to the Mission and Values of Santa Fe Care Center
17. 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:

1. Excellent communication skills
2. Attention to detail
3. Computer knowledge
4. Medical Terminology
5. Experience in coding and charge entry

Minimum Requirements:

1. 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.
2. Ability to understand that safety is a condition of employment. Unsafe acts or conditions will be reported to the supervisor.
3. Must be able to read, write and speak English.

Education and/or Experience:

1. High School diploma or equivalent.