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Supv,Med Billing - req# 7931

at University of New Mexico

Posted: 2/11/2019
Job Reference #: 7931
Keywords: billing, compliance

Job Description

Supv,Med Billing

Requisition IDreq7931
Working TitleSupv,Med Billing
Position Grade12
Position Summary

The Center for Development and Disability (CDD), established in 1990, is New Mexico's University Center for Excellence in Developmental Disabilities Education, Research and Service. These centers, authorized by the Developmental Disabilities Assistance and Bill of Rights Act, build the capacities of states and communities to respond to the needs of individuals with developmental disabilities and their families.

The CDD Administration is seeking a skilled professional to supervise all facets of daily operations regarding billing, revenue cycle, accounts receivable, claims submission, denial management and collections. This position requires strong communication and organizational skills and experience supervising the work of other professionals.

The successful candidate will:

  • Develop and implement processes to ensure appropriate and timely billing for multiple service areas and programs of varying complexity.

  • Work directly with program leads to determine billing needs and develop strategies for charge entry and capture to ensure fiscal solvency for the program.

  • Work with third party payers to discuss denials and determine alternate approaches to improve collection rates.

  • Participate in meetings with payers, state and federal agencies and program leads to discuss future fee for service strategies for sustaining programs.

  • Participate on teams to develop new clinical models, research new and existing Medicaid carve-outs for relevant services, determine billable services and associate codes and provide expertise on all aspects surrounding the billing operation at the CDD.

  • Meet regularly with internal HSC components to review clinical billing performance and develop strategies to streamline processes and improve collection rates.

  • Supervise personnel, including work allocation, training, promoting, enforcement of internal procedures and controls, and problem resolution; evaluate performance and make recommendations for personnel actions; motivate employees to achieve peak productivity and performance.

  • Monitor all charges and billing. Ensure compliance with applicable laws and policies.

  • Compile and submit appeals and monitor for proper reimbursement.

  • Prepare and maintain required records, files, and reports on billing, charge entry and accounts receivable.

  • Develop and deliver performance reports to leadership regarding billing performance.

  • Develop ad HOC reports as requested.

  • Maintain good business relationships with third party payers and establish reliable contacts to discuss billing issues.


See the Position Description for additional information.

Conditions of Employment
Minimum Qualifications

High school diploma or GED; at least 5 years of experience directly related to the duties and responsibilities specified.

Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

Preferred Qualifications

**Be sure to address our preferred qualifications below in your cover letter**

Experience:

  • In the development and maintenance of record keeping systems and procedures.

  • With procedural requirements and operational characteristics of third party medical insurance payers.

  • With supervision of lower level employees including training, organizing, prioritizing and scheduling work assignments.

  • In analyzing medical records for billable services.

  • Working effectively with a wide range of constituencies in a diverse setting.

  • Knowledge of and experience in appropriate billing and payment cycles for medical accounts.



Additional Requirements
CampusHealth Sciences Center (HSC) - Albuquerque, NM
DepartmentPediatrics Center for Development (997H)
Employment TypeStaff
Staff TypeTerm - Full-Time
Term End Date06/30/2019
StatusExempt
Pay$2,986.30 to $4,478.93 Monthly
Benefits EligibleThis is a benefits eligible position. The University of New Mexico provides a comprehensive package of benefits including medical, dental, vision, and life insurance. In addition, UNM offers educational benefits through the tuition remission and dependent education programs. See the Benefits home page for a more information.
ERB StatementTemporary and on-call employees working an appointment percentage of 26 (.26 FTE) or greater, per quarter, will be eligible to earn retirement service credits and thus are required to make New Mexico Educational Retirement Board (NMERB) contributions. More information pertaining to your FTE and NMERB contributions can be reviewed on the NMERB Guidelines Clarified webpage.
Background Check RequiredNo
For Best Consideration Date2/13/2019
Application InstructionsTo be considered for this position: * Complete the official application; be sure to include all prior work experience and hours worked per week. * Attach your Current Resume; listing three former or current Supervisor References.* Attach your Cover Letter that addresses our Preferred Qualifications.Incomplete Applications may not be considered.

Positions posted with a Staff Type of Regular or Term are eligible for the Veteran Preference Program. See the Veteran Preference Program webpage for additional details.

The University of New Mexico is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability, or any other protected class.

Application Instructions

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