Job Description

Lead Revenue Qualifications Specialist (Eligibility) Location Albuquerque, NM (Eagle Ranch area) :

Join an Exceptional Organization with more than 70 years in the New Mexico Medical Community.

Are you ready to move from a front office, patient facing position to a central business office? If you love the medical field, but would like to move to a more supportive, behind the scenes position where you can make a difference every day, then this is the opportunity for you!

We are seeking a full-time Lead Revenue Qualification (Eligibility) specialist for our Billing Office located at 9461 Eagle Ranch Road.

As part of this important team, you will ensure patients have coverage for their services being performed at XRANM. You will verify insurance eligibility and benefits for patients, including co-insurance and deductible amounts to be collected. At times you will find the need to reach out to our patients to assist them in navigating insurance. Apply today to for this exciting, fast-paced position helping patients with their healthcare needs.

Hours are Monday through Friday, 8am - 5pm.

The ideal candidate will have:

• High school diploma or equivalent.
• Experience reading EOBs.
• Experience obtaining Prior Authorizations and an understanding of Insurance Eligibility.
• Must have Data Entry skills of 50 wpm or 10,000 keystrokes per hour with extreme accuracy.
• Two-year previous medical front office experience and great customer service skills.
• Two-year leadership experience
• Medical insurance claims processing experience or medical accounts receivable position preferred.
• Know medical terminology, radiology specific knowledge a plus.
• Spanish speaking a plus.

We offer an outstanding benefits package, including Four weeks of Paid Time Off , plus 7-8 additional Holidays per year. Medical, Dental, Vision, Life, LTD insurance benefits. Paid CEU's. Cash Balance Plan plus 401k with employer contribution up to 6.625% of annual salary.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• In-person

Application Question(s):

• What is your salary requirement?

Experience:

• Insurance claims: 1 year (Required)
• Leadership: 2 years (Required)
• Medical A/R: 2 years (Required)

Language:

• Spanish (Preferred)

Work Location: In person

Job Tags

Hourly pay, Full time, Work at office, Monday to Friday, Flexible hours, Shift work, Day shift,

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