Senior Accountant / Biller (DOH/TURQ#12522)

New Mexico Department of Health; Albuquerque (NM); On-site; USD 52,000 - 78,000; Full time

Job summary

New Mexico Department of Health is seeking an accounting/billing professional to handle patient billing, AR management, and monthly reporting using Avatar and SHARе systems. This role supports Turquoise Lodge Hospital's revenue cycle and Medicaid/Medicare compliance.

Ideal candidate has a bachelor's in accounting or related field and experience with medical billing, Excel, and strong communication. Office-based position in Albuquerque, with standard business hours.

Qualifications

• High level of proficiency with Microsoft Office Suite including Excel spreadsheets.
• Knowledge of accounting principles.
• Strong oral and written communication.
• Familiarity with SHARE Financial.
• Familiarity with billing for medical services and EMR (electronic medical record).

Responsibilities

• Prepare patient billing on a timely basis to reflect current billing practices.
• Assist in follow up of insurance claims and resubmission.
• Prepare and submit monthly Avatar aging reports.
• Post payments and reconcile AR to SHARE accounting.
• Notify supervisor when insurance contracts near expiration.

Job description

Posting Details

This posting will be used for ongoing recruitment and may close at any time. Applicant lists may be screened more than once.

Salary

$24.88 - $37.32 Hourly

$51,755 - $77,633 Annually

This position is a Pay Band C6

Posting Details

This posting will be used for ongoing recruitment and may close at any time. Applicant lists may be screened more than once.

New Mexico Department of Health's Turquoise Lodge Hospital is a facility that provides substance use disorder treatment services to New Mexico residents. We specialize in medical detoxification, social rehabilitation services, and Intensive Outpatient services.

The Financial Management Bureau oversees the facility budget, processes payments, purchases, medical billing, financial packets for patients, deposits, reconciliations, credentialing and licensing.

Why does the job exist?

This position is responsible for preparation of all patient billing on a timely basis, to include UB-04 and HCFA I 500 forms or any new forms that have been updated to reflect current billing practices.

How does it get done?

For those patients that have insurance prepare billing within a week from date of patient discharge. Assist in follow up of insurance claims and resubmission of insurance claims on a timely basis. Prepare and submit Monthly Avatar generated Aging reports. Perform Avatar monthly closing on a timely basis closing previous month by the 10-working day of the current month. Prepare and submit deposits as received. Post payments received for medical services in Avatar and verify payment received are applied correctly. Maintain professional customer relations with all staff, stakeholders and the general public. Provide Avatar generated monthly reports and supporting documents and spreadsheets to budget director and to DOH Finance Manager etc. Prepare and generate Trial Balance Reports. Reconcile Accounts Receivable to SHARE Accounting. Prepare and post JE's on Share. Perform all duties as specified on TLH and DOH policies and procedures and within Medicaid and Medicare standards and guidelines. Notify immediate supervisor when insurance or third party payor contracts are about to expire. Generate accounts receivable reports for immediate supervisor when needed.

Job responsibilities will be accomplished using AVATAR patient electronic health record program, electronic billing clearinghouse, spreadsheets, telephone and electronic communication with Insurance companies, communication with related organizations, Department of Health Administrative Services and Information Technology Department when needed. Utilization of Share.

Who are the customers?

Adults who present with substance use disorder and co-occurring disorders and the staff of Turquoise Lodge Hospital.

Ideal Candidate

• High level of proficiency with Microsoft Office Suite including excel spreadsheets.
• Knowledge of accounting principles.
• Possessing strong oral and written communication.
• Familiarity with SHARE Financial
• Familiarity with billing for medical services & EMR (electronic medical record)

Minimum Qualification

Bachelor's Degree in Accounting, Finance, Auditing, or Business Administration and two (2) years directly related work experience in accounting, auditing, finance, and/or budgeting. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling six (6) years may substitute for the required education and experience.

Employment Requirements

Employment is subject to nationwide criminal background check and is conditional pending results. Must possess and maintain a valid Driver's License. Must possess and maintain a current Defensive Driving Course Certificate from the State of New Mexico or must pass and receive Defensive Driving Course Certification as a condition of continued employment. Successful completion of Health Insurance Portability and Accountability Act (HIPAA) training.

Working Conditions

Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT) and extensive personal computer and phone usage. Some sitting, standing, bending and reaching may be required. Office is cubicle setting with three other finance employees.

Supplemental Information

Do you know what Total Compensation is?

Bargaining Unit Position

This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.