Eye Associates of New Mexico has an outstanding career opportunity within our Patient Accounting Team!
Does your boss actively listen you you? Are your ideas valued? Does your job have meaning? Sight . . . is a precious gift!
At Eye Associates of New Mexico you’re an individual and not just a number. Our team environment feels like family and everyone is helpful. Tools and training are provided to help you succeed. We invest in you! Maybe these are some of the reasons why our employees voted us TOP WORK PLACES in 2022, 2020 and 2019!
Eye Associates of New Mexico is the largest Ophthalmology and Optometry practice in the Southwest. We serve our communities with compassionate, state-of-the-art and valued-based care. Our team approach aims to deliver the highest quality eye care to all. We take pride in giving the absolute highest level of patient care, and we strive to support our employee’s professional development. Come be a part of our team!
The Financial Advocate is responsible for providing patients with a positive financial experience by helping patients navigate and understand the potential financial liability, their insurance benefit, and in the instance the patient is uninsured, screen patient for assistance eligibility. This position will collect payments, create estimates, review and explain patient insurance benefits as they apply to the services scheduled/performed. Identify and assist uninsured patients with applying for any and all applicable government funding programs in which the patient may qualify based on individual program criteria.
Job Duties May Include:
- Coordinates financial clearance for all patients to include pre-registration, eligibility and benefits, referral coordination, authorization requirements and expressing financial expectations using on-line systems, telephonic verification, and faxing to update and verify patient demographic and payer information.
- Maintains complete records of all patients applying for indigent or financial assistance to include the application, proof of income, the acceptance/denial letter, and other applicable documentation.
- Maintain a knowledge base and certification (if required) of all programs available for indigent funding including but not limited to: New Mexico Medicaid, Medicare, NM Health Exchange, NM Insurance Pool, County Indigent Programs, Lions Eye Bank, Emergency Eye Care, and ASC Indigent Funds.
- Creates detailed notes in the system to reflect all actions performed on an account.
- Performs follow-up functions to correct inaccurate/missing data elements.
- Responds to telephone inquiries, questions, situations related to registration practices, billing and insurance requirements in a timely, effective and professional manner.
- Pre-Registration: communicates effectively with patients regarding their patient financial responsibility as well as collects copays, deductibles and co-insurance prior to date of service.
- Advises supervisor/manager of problems and potential problems as soon as possible.
- Takes ownership of all appointments assigned. Personal actions demonstrate accountability for the outcomes of the facility.
- Works closely with supervisors, clinic directors, physicians and all members of the physician office/surgery center to resolve problems or issues related to patient’s registration, financial issues or authorization issues. Notifies the appropriate physician’s office of patient’s inability to meet their estimated financial obligation/authorization requirements within timeline outlined prior to date of service to determine need to reschedule or proceed.
- Follows work prioritization standards as established, using standard tools to complete work in the most effective manner established and enters appropriate account status codes. Documents work activity clearly, concisely and completely.
Skills/Requirements:
- High School Diploma or GED Equivalent
- Medical terminology knowledge
- Must be able to complete NM Medicaid PE/MOSAA Certification within first 60 days of employment
- Must be able to travel to meet patients if required to complete the indigent application process
- Basic computer knowledge including Microsoft Office Excel and Word
- Bi-lingual preferred
- Minimum Experience: 1 year as Healthcare Financial Counselor, Insurance Verification, or Healthcare Revenue Cycle-Patient Accounting
- Preferred Experience: 2+ years as Healthcare Financial Counselor, Healthcare Insurance Verification, or Healthcare Revenue Cycle-Patient Accounting
What we offer:
- Paid time off (PTO)
- Eight (8) company paid holidays (including the day after Thanksgiving and Christmas Eve!)
- Medical and Dental
- Generous Vision benefits for you and your dependents
- Education Assistance Program
- 401(k) and Roth Program
- Flexible Spending Account (FSA)
- Company paid Basic Life and AD&D Insurance, Short Term and Long Term Disability Insurance
- Voluntary Supplemental Life and AD&D
- Free Calm app
- Financial Wellness Program
- Identity Theft Protection Plan
- Employee Assistance Program
- and more!
Eye Associates of NM is a safe team oriented culture supporting a drug-free work environment. To learn more about this position and our organization, please visit www.eyenm.com
AA/EOE/Disability. Eye Associates of New Mexico is a drug and tobacco-free employer
Req 1807
Source: Indeed.com
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