Premium Billing Analyst at Presbyterian Healthcare Services

Albuquerque, New Mexico, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Jan, 26

Salary

23.76

Posted On

30 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Billing, Collections, Account Reconciliation, Customer Service, Health Insurance, Microsoft Excel, Microsoft Word, Microsoft Access, Financial Analysis, Discrepancy Resolution, Invoice Audits, Government Programs, Self-Billed Reconciliation, Account Management, Data Analysis

Industry

Hospitals and Health Care

Description

Overview Presbyterian is seeking a Premium Billing Analyst Under general supervision, executes all functions and analysis with regard to billing and collection activities for Small and Large groups, Self-Billed, ASO Groups, and Medicare line of business. Performs complex account reconciliation, resolution of discrepancies, and processing of member and group terminations resulting from account reconciliation. Provides exceptional customer service with internal and external customers. Performs monthly invoice audits of new and existing groups. Functions as back up for Urgent Member Issues and Hot Phone call This is a Full Time position - Exempt: No Job is based at Rev Hugh Cooper Admin Center Work hours: Days Ideal Candidate: High School Diploma/GED 2 years account billing and collections experience preferably with strong accounting and /or bookkeeping experience in health insurance industry. Qualifications High School Diploma/GED 2 years account billing and collections experience preferably with strong accounting and /or bookkeeping experience in health insurance industry. Requires detailed knowledge of Health Plan portfolio (ASO, Self-billed, Medicare, Individual and Group plans) billing and follow up. Demonstrates competency in desktop software applications including Word, Excel, and Microsoft Access. Responsibilities Responsible for moderately complex group insurance customer billing and accounts receivable. Provides service to customers regarding types of payments, reconciles moderately complex accounts, and handles collections and reinstatements. Process monthly Self billed and ASO account reconciliations including resolution of discrepancies Perform billing and collections for Government Programs Performs Self billed reconciliation for the life of the group and analyzes and reports financial information to customers. Analyzes billing errors and billing queries in order to correct errors. Other duties as assigned. Benefits About Presbyterian Healthcare Services Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits. The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges, webinars, and screenings - with opportunities to earn gift to earn gift cards and other incentives. As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships. Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. Maximum Offer for this position is up to USD $23.76/Hr. Compensation Disclaimer The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.

Responsibilities

The Premium Billing Analyst is responsible for executing billing and collection activities for various groups and performing complex account reconciliations. They provide exceptional customer service and handle billing errors and discrepancies.