Health Center Revenue & Operations Leader

Sandia Casino; Bernalillo (NM); Hybride; USD 51 000 - 61 000; Plein temps

Résumé du poste

Pueblo of Sandia Health Center in Bernalillo, NM seeks a Business Office Manager to oversee the Health Center's revenue cycle, billing operations, and accounts receivable, ensuring accurate coding, timely claims submission, and effective denial management.

The role coordinates patient registration, eligibility verification, PRC and third-party payer contracts, and provider credentialing, while maintaining HIPAA compliance and reporting to Health Center leadership.

Qualifications

• Knowledge of revenue cycle management and payer contracts.
• Experience with accounts receivable, billing, and collections.
• Understanding of HIPAA and health information privacy.
• Ability to coordinate credentialing and enrollment.
• Strong financial reporting and regulatory compliance knowledge.

Responsabilités

• Oversee revenue cycle, charge capture, denial management, and collections.
• Manage patient registration, scheduling, and eligibility verification.
• Coordinate provider credentialing, recredentialing, and enrollment.
• Prepare financial, operational, and performance reports.
• Ensure compliance with HIPAA and applicable regulations.

Connaissances

Revenue cycle management

Accounts receivable

Third-party payer contracts

Billing and coding compliance

Provider credentialing

HIPAA compliance

Data analysis

Formation

High School Diploma or GED

Bachelor’s degree

Outils

Billing software

Accounting software

Description du poste

Pueblo of Sandia Health Center in Bernalillo, NM seeks a Business Office Manager to oversee the Health Center's revenue cycle, billing operations, and accounts receivable, ensuring accurate coding, timely claims submission, and effective denial management.

The role coordinates patient registration, eligibility verification, PRC and third-party payer contracts, and provider credentialing, while maintaining HIPAA compliance and reporting to Health Center leadership.