Premium Billing Analyst

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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.

Some key responsibilities include:

• 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.

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.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

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.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are 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 1600 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.

Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in ourPromise and CARES commitments.

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