Our Logo Login

Search Jobs

Hiring Organization Logo

Supervisor Third Party Billing

Presbyterian Healthcare Services - 9521 San Mateo NE   Albuquerque   NM

Posted 57 days ago

Salary: Not Disclosed

Tags: billing ,

Report this Listing

Similar Jobs from our Partners

Job Description

Overview

Responsible for supervising the day to day operations of the Patient Accounting Third Party Billing and Follow-up Team to ensure that all paper and electronic claims are filed and/or processed within the established performance standards and to ensure appropriate and adequate follow-up, appeals and denial management of all assigned payers. Serves as the primary trainer/teacher and coach for the staff. Insure that all adjustments are properly authorized and appropriate backup documentation is maintained.

Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Weekday Schedule Monday-Friday

Qualifications

One to two years of college level courses or three years healthcare business office experience in lieu of college level courses AND two years experience in healthcare billing technology and methods as well as general to detailed knowledge of payer requirements. Demonstrated ability to communicate verbally and in writing to customers, providers and peers. Good organizational and people skills and ability to function effectively under stress. Excellent interpersonal skills, open and approachable personality

Education:Essential:* High School Diploma or GED

Responsibilities

*Assists Manager in ensuring that all claims are processed and paid at the prescribed production standards of quality and are well documented to facilitate regulatory compliance and successful outcomes to internal/external review and audits.*Identifies patterns in resubmitted and adjusted claims. Identifies trends and inconsistencies that require revisions to billing/follow-up guidelines and/or system modifications. Addresses trends with manager. Maintains electronic billing systems.*Acts as a resource person to answer questions internally or externally. Assures open and timely communication with all employees.*Reviews daily/weekly reports and formulates work plans and assignments based on the analysis of the workload and available personnel. Prepare work status reports and statistics for Manager and Director within established timeframes for distribution.*Assists manager in the development, maintenance, monitoring and enforcing of the department policies procedures and departmental goals. Assists manager in identifying and maintaining training needs for team to ensure that team and individual goals are met. *Supervise the day to day activities and staff of their assigned team to meet established goals and targets. Performs quality audits to ensure goals and targets are met.*Assists manager in performing random reviews of problem accounts and resolution. Ensure that all issues are acknowledged and resolved within established time periods.*Track attendance and note all occurrences , approve and maintain time off requests, and manage all payroll functions within established PHS guidelines. Maintains employee s work schedules to ensure adequate staffing to accomplish daily tasks and goals.*Monitors and assists manager in enforcing performance as related to individual and area behavior, skill and results base competencies.

Benefits

We offer more than the standard benefits!

Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!

Learn more about our employee benefits:

https://www.phs.org/careers/employee-benefits/Pages/default.aspx Why work at Presbyterian?

As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.

Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.

About Presbyterian Healthcare Services

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

About Our Regional Delivery System

Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.

We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

About New Mexico

New Mexico continues to grow steadily in population and features a low cost-of living.

Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.

New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

Find more billing jobs in Albuquerque from partner feeds ›

More jobs at Presbyterian Healthcare Services

Hiring Organization Logo

CNA-Inpatient and Hospice House

Presbyterian Healthcare Services - 6000 Forest Hills Dr. NE, Albuquerque, NM, 87109, US

Salary: Not Disclosed

Posted Today
Hiring Organization Logo

Registered Nurse

Presbyterian Healthcare Services - 6400 Paseo Del Norte NE, Albuquerque, NM, 87113, US

Salary: Not Disclosed

Posted Today
Hiring Organization Logo

Registered Nurse

Presbyterian Healthcare Services - 6400 Paseo Del Norte NE, Albuquerque, NM, 87113, US

Salary: Not Disclosed

Posted Today
See all jobs at Presbyterian Healthcare Services

More jobs in 9521 San Mateo NE, Albuquerque, NM, 87113-2237, US

Hiring Organization Logo

Classified Support Technician

Edgewater Federal Solutions, Inc. - UNAVAILABLE, Albuquerque, NM, 87123, US

Salary: Not Disclosed

Posted Today
Hiring Organization Logo

Retail Merchandiser (Merchandise Coordinator)

Winston Retail - UNAVAILABLE, Albuquerque, NM, 87102, US

Salary: Not Disclosed

Posted Today
Hiring Organization Logo

Junior Merchandiser (Stock Squad Associate)

Winston Retail - UNAVAILABLE, Albuquerque, NM, 87102, US

Salary: Not Disclosed

Posted Today
See all jobs in 9521 San Mateo NE, Albuquerque, NM, 87113-2237, US Find more billing jobs in Albuquerque from partner feeds ›