Patient representative Jobs in Rio Rancho, NM

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JOB SUMMARY :

Ability to communicate both verbally and in writing, mainframe computer skills, basic accounting and detailed clerical skills and good customer relation skills. Manage the in network and out of network accounts according to third party payer rules, and to comply with MTALA rules and regulation. Have knowledge, and an understanding of medical and third party payer terminology.

REPORTS TO :

JOB SPECIFIC RESPONSIBILITIES :

• Manage and have knowledge of all contracts particular to your desk.
• Determine if correct reimbursement has been submitted by the payer and / or if credit is due to

incorrect proration.

adjustment spreadsheet. Documentation is required either in NB or as a comment on the

transaction adjustment.

this includes proper handling of credit balances.

when you are unable to reach by phone or calls are unreturned. This is to ensure claims are billed

and paid timely.

contract with each payer.

by consistently utilizing “AW” function, and strives to be proactive by educating departments as

needed on accuracy of FSC / Plan assignment.

EDUCATION AND EXPERIENCE :

REQUIRED LICENSURES / CERTIFICATIONS / REGISTRATIONS :

None

SKILLS AND ABILITIES :

INTERACTION WITH OTHER DEPARTMENTS AND OTHER RELATIONSHIPS :

Internal : This position requires interaction with most other UMC departments, medical staff, technical personnel at TTUHSC and PNS.

External : This position also may interact with technical support analysts employed by contracted hardware and software vendors and Texas Workers Compensation Commission.

PHYSICAL CAPABILITIES :

Work is of medium demand, walking, sitting, and standing most of the time while on - duty. Occasional lifting of equipment is required. Adequate hand / eye coordination and fine motor skills required for typing. Verbal communication and hearing are essential in dealing with co-workers and customers.

ENVIRONMENTAL / WORKING CONDITIONS :

Works in a well-lighted, heated, and ventilated building.

DIRECT REPORTS :

UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.