Medical Billing Specialist

Job Description Salary: $20 - $22Alta Mira is a non-profit organization that has been supporting individuals with developmental or intellectual delays or disabilities, and their families, since 1985. We provide services to all age groups. We support over 800 children annually through our Early Intervention Program and 1500 adults in our Family Support Services. We employ over 60 employees and 250 independent contractors. We are an excellent employer with a high level of schedule flexibility and very rich benefits. We are one of New Mexicos Top Workplaces in the category of work/life balance.This is a full-time, 40-hour-per-week position.Some of our benefits include:Paid Time Off from 150 to 304 hours a yearPaid Sick Leave - 1 hour for every 30 hours workedPaid Holidays 5 holidays per yearWinter Break agency is closed from December 24th through New Years Day (paid)Educational Leave 40 hours after 6 months of employmentBereavement Leave up to 24 hoursMedical 3 plans to choose from through BCBS, ranging in premiums from $0 to $159.21.Dental - freeVision vision through VSP at $2.05SIMPLE IRA Matched $1 for $1 by the agency for the first 3% of employees' annual payGroup life and Long-Term Disability agency pays for 25KIndividual life and Short-Term Disability available, paid by employeeMileage reimbursement - $0.70 per mile, if required to drive during work hours for work purposesDiscount ProgramWe are a 501(c)(3) program that allows employees to enroll their student loans in the Public Service Loan Forgiveness through the Federal government.SkillsAccuracyExcellent computer skills, proficiency in Excel and Word, knowledge of I Therapy Docs a plusExcellent communication skills (written and verbal)Self-StarterDetail-orientedAbility to work independently and complete assigned tasks within identified time frames and with minimal supervisionTeam playerExcellent organizational skillsFiling10 keys by touchScanningAbility to juggle multiple tasksStrong accounting knowledgeCustomer serviceTime ManagementJob FunctionsPerforms day-to-day functions of the accounting/billing departmentCommunicates promptly and courteously with staff and contractorsMonthly billing reconciliation for various accounts and posts paymentsTransmits electronic claim files to the clearinghouse as neededData entryResearch and resolve discrepancies, denials, and appeals on all accountsFollow up on delinquent claims in a timely manner and correct clearinghouse errorsAssists with annual auditConduct coding training sessions and periodically update providers on specific coding issues, topics, and updates.Responsible for managing client accounts and collectionsPerforms duties in an organized, efficient, and timely mannerAdvises Operations Director regarding specific billing issuesWorks with the Billing Team through the monthly billing processo Create contractor payment invoiceso Create billing reimbursement invoiceso Perform data-entry as neededo Reconciles billing reportso Assist in running the software billing process and submittalo Assist in the follow-up process regarding payment denialsMaintains EVV processo Create and maintain EVV worker and user profiles in Authenticare softwareo Process EVV billing and follow-up processManage all aspects of billing, state partners, and other stakeholders, including:Creation of 837p for Medicaid and upload into Conduent Billing:o Mi Viao Authenticare/Palcoo Supports Waivero MOUso Private Pay for Respite Home Mealso Reconciliation of private pay for RH mealso Monitor for, correct, and rebill any denialso Communicate with Operations Director the expected amounts receivable for each payer to enter into IntaactAt Alta Mira Specialized Family Services, we value the diversity of our workforce and actively seek opportunities to incorporate Diversity, Equity, and Inclusion (DEI) within our agency. We believe a diverse workforce enriches our environment and helps us better meet the needs of our employees, customers, and providers. We remain committed to attracting and retaining a diverse workforce and retaining high-performing employees who work collaboratively to carry out the agency's purpose.Alta Mira Specialized Family Services is an Equal Opportunity/Affirmative Action employer. Women, minorities, people with disabilities, and veterans are encouraged to apply.