Patient Accounting Needed in Santa Fe!!

Eye Associates of New Mexico has an outstanding career opportunity as a NNM-Pt Acctg Financial Coord Assistance!

Are your ideas valued? Does your job have meaning? Sight . . . is a precious gift!

Eye Associates of New Mexico is the largest Ophthalmology and Optometry practice in the Southwest. We have been serving the state of New Mexico since 1976 with compassionate, state-of-the-art, value-based care. Our team approach aims to deliver the highest quality eye care to all while striving to support our employees’ professional development. Perhaps these are some of the reasons why our employees have voted us TOP WORK PLACES locally and nationally since 2022! Come be a part of our team!

POSITION SUMMARY:

• Provides assistance to clinic staff and patients through the handling of account problems and through the cascading process to file secondary insurances; assists in accounts receivable management through insurance claim follow-up; provides accounting expertise to the Patient Accounting department, clinical staff and related departments. Financial coordinator must have greater than 3 years Medical Billing/ Accounts Receivable experience or is required to have one of the following certifications: Ophthalmic Coding Specialist (OCS), Patient Service Specialist (CPSS) Certified Professional Coder (CPS), Certified Ophthalmic Professional Coder (COPC) OR Certified Professional Biller (CPB). This position will be required to have expert knowledge of the assistance programs available for patients receiving service with Eye Associates of NM.

ESSENTIAL FUNCTIONS/RESPONSIBILITIES:

Customer Service:

• Answer incoming patient and clinic calls in a timely manner.
• Resolve patient billing issues and follow up with patient if needed
• Must be available to in person consultation with patients regarding billing issues
• Audit, adjust and/or refund small credits in an appropriate and timely manner
• Responds to patient billing/insurance inquiries via in-person, portal or by mail

Accounts Receivable and Collections:

• Responsible for obtaining patient signatures required for benefit investigation and co-pay assistance with appropriate drug company as it pertains to in office injections.
• Meets with patients in regards to their billing
• Responsible for the management of assigned accounts receivable, to include account adjustments, balance control, refunds and payment allocation from insurance and patients.
• Serves as a resource for other clinic staff to assist with patient billing questions
• Audits insurance payments to assure maximum reimbursement to practices; initiates reconsiderations as warranted
• Works closely Retina Providers to determine the needs of the provider and patients.
• Processes all patient account adjustments including but not limited to corrections, posting errors, contractual arrangements, write offs, and physician approved write offs
• Notes each encounter/account/task of any correspondence, conversation or steps taken to resolve the balance.
• Starts and continues to follow up on work log tasks in a timely manner.
• Keeps work log current and organized
• Keeps up with PX Technology tablets
• Serves as a liaison with payer sites relative to billing (i.e.Gooddays, CDF, Eylea4U...)
• Keeps current with regulations and changes in procedures relative to billing and reimbursement in the applicable insurance specialty
• Ensures the accuracy of reporting CPT codes, modifiers, referring physicians, diagnoses, referrals, etc. to each insurance company compliant with their specific regulations and our compliance program
• Reports issues in billing that appear at variance with our compliance plan
• Performs account audits as requested by patients or needed to insure appropriate insurance payments
• Collects patients portion and verifies demographics with any contact with patients
• Reviews and submits patient responsibility credits for reimbursement in a timely manner.
• Reviews and insurance responsibility credits and initiates recoupment or refund for reimbursement in a timely manner.
• Serves on corporate committees as assigned
• Assists in the resolution of duplicate encounters to ensure that the charges are billed appropriately.
• The annual completion of assigned Learning Management System (LMS) courses is mandatory. Any individual who has not completed their assigned training prior to November 30th of each year may be subject to disciplinary action, up to and including termination of employment.
• Other duties as assigned.

SKILLS/QUALIFICATIONS:

• Job requires a high school diploma or GED.
• Must have passed the EANM Insurance Certification test and have greater than 3 Years Medical Billing/Accts Receivable experience.
• Financial Coordinator Clinic Support must obtain one of the following certifications within one year of starting the position: Ophthalmic Coding Specialist (OCS), Patient Service Specialist (CPSS), Certified Professional Coder (CPC), Certified Professional Billing (CPB), OR Certified Ophthalmic Profession Coder (COPD).

GENEROUS BENEFITS:

• Paid time off (PTO)
• Eight (8) company paid holidays (including the day after Thanksgiving and Christmas Eve!)
• Medical and Dental
• Health Savings Account
• Generous Vision benefits for you and your dependents
• Education Assistance Program
• 401(k) and Roth Program
• Flexible Spending Account (FSA)
• Company paid Basic Life and AD&D Insurance, Short Term and Long Term Disability Insurance
• Voluntary Supplemental Life and AD&D
• Free Calm app
• Financial Wellness Program
• Identity Theft Protection Plan
• Employee Assistance Program
• and more!

Please visit us at https://www.eyenm.com/ for more information.

AA/EOE/Disability. Eye Associates of New Mexico is a drug and tobacco-free employer.

Req 2619