Medicare/Medicaid Billing Specialist & Office Assistant

Santa Fe Care; Rio Rancho (NM); Presencial; USD 25.000 - 39.000; Jornada completa

Descripción de la vacante

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

Formación

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

Responsabilidades

• 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.

Conocimientos

Medical Terminology

Computer knowledge

Coding and charge entry experience

Descripción del empleo

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