Billing Analyst

Pay

Pay range: $15.99/hr ‑ $26.35/hr (actual pay based on skills and experience).

9521 San Mateo NE, Albuquerque, New Mexico 87113‑2237, United States of America

We are hiring a Premium Billing Analyst to join our team.

Type:
Full time
Exempt:
No
Base location:
Reverend Hugh Cooper Administrative Center

Work shift:

Days (United States of America)

Under general supervision, you will execute 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.

• Perform complex account reconciliation, resolution of discrepancies, and processing of member and group terminations resulting from account reconciliation.
• Provide exceptional customer service to internal and external customers.
• Perform monthly invoice audits of new and existing groups.
• Act as backup for Urgent Member Issues and Hot Phone call.
• Responsible for moderately complex group insurance customer billing and accounts receivable.
• Provide service to customers regarding types of payments, reconcile moderately complex accounts, and handle collections and reinstatements.
• Process monthly Self‑billed and ASO account reconciliations including resolution of discrepancies.
• Perform billing and collections for Government Programs.
• Analyze billing errors and billing queries to correct errors.
• Other duties as assigned.

• High School Diploma/GED.
• 2–3 years of account billing and collections experience, preferably with strong accounting/bookkeeping experience in the health insurance industry.
• Detailed knowledge of Health Plan portfolio (ASO, Self‑billed, Medicare, Individual and Group plans) billing and follow‑up.
• Competency in desktop software applications including Word, Excel, and Microsoft Access.

All benefits‑eligible 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.

Employees can earn gift cards and more by participating in wellness activities such as wellness challenges, webinars, preventive screening and more.

We are committed to improving the health of our communities through local engagement and partnerships.

Presbyterian is a locally owned, not‑for‑profit healthcare system of nine hospitals, a statewide health plan and a growing multi‑specialty medical group. Founded in 1908, we are the state’s largest private employer with nearly 14,000 employees, including more than 1,600 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.

Our culture values respect and equality, guided by the Promise and CARES commitments.

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