Medical Billing Associate

Position Description

Employees in this position are responsible for the maintenance of patient billing accounts and performing numerous related functions to accomplish this task; such as, patient registration, insurance follow-up, financial screening of unfunded patients, answering patient billing inquiries, collection of unpaid balances and posting of payments in the Regional Campus Business Office. Maintains confidentiality in accordance with HIPAA standards and complies with all federal, state, and institutional guidelines.

Requisition ID

44975BR

Optional Attachments

Professional/Personal Reference

Travel Required

None

Pay Grade Maximum

17

Major/Essential Functions

• Work and maintain assigned ETM work flows using appropriate Outcome. Enter detailed documentation in Task Notes, and in General Comments or Financial Comments as appropriate.
• Contact patient or employer via phone and follow up with a formal request letter to attain current billing information, and update CPM and Athena IDX with the correct information and bill it as appropriate.
• Appeal and redirect claims, processing in accordance with the individual payer requirements.
• Ensure all batches have all the required documents and ensure the batch is not out of balance, daily.
• Posting or verifying rejections and/or payments from the Explanation of Benefits (EOB) or the Remittance and Status, (R&S).
• Process all claims, initial or rebills electronically unless not possible.
• Process email requests and corrected claim requests utilizing all required information for effective claim resolution and work and resolve any mail received from the payer or any other source.
• Analyze, research and work the UMC Rescue Report.
• Research and report any billing issues or updates through the SharePoint sites as well as reporting them to management.
• Work refund requests to determine whether or not we agree with the request or not and follow the appropriate process to resolve it.
• Provide assistance as needed to ensure completion of essential duties within the team and A/R as well as within all areas of the MPIP office whenever needed.
• Collect insurance updates and notifications and inform the appropriate stake holders. These come from payer websites, faxes, newsletters, etc.
• Attend meetings.
• Meet standard metrics and KPIs as assigned by leadership or supervisors.

Grant Funded?

No

Pay Grade Minimum

15

Pay Basis

Hourly

Work Location

Lubbock

Preferred Qualifications

• Experience with accounts receivable management in a healthcare setting.
• Experience with CPT, ICD10, HCPCS, modifiers, coding.
• Experience with the current Microsoft Office Suite, and Adobe Acrobat.

Department

MPIP Admin Lbk

Required Attachments

Cover Letter, Resume / CV

Job Type

Full Time

Pay Statement

Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website at https://app4.ttuhsc.edu/payplan.

Shift

Day

EEO Statement

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran.

Required Qualifications

A minimum of a high school diploma or equivalent. Two years of medical or general office experience OR Completion of related education or training and one year of experience.

Does this position work in a research laboratory?

No

Navy Enlisted Classification Code

YN, HM

Air Force Specialty Code

3A1X1, 4A0X1

Marine Military Occupational Specialty Code

0111

Jeanne Clery Act

The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. To view this report, visit the TTUHSC Clery Act website at https://www.ttuhsc.edu/compliance/clery-report.aspx.

Introduction

Nationally recognized as a Great College to Work For, TTUHSC provides much more than just a job! Enjoy excellent benefits, including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive? Join us as we change the future of health care.

About TTUHSC

Texas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas and beyond. This is where world-class education meets compassionate patient care - and we believe that our people are the reason for our institution's lasting success and bright future.

Being part of the TTUHSC team means being part of an innovative and supportive community that empowers each individual to do their best work. Through our values-based culture, TTUHSC is committed to cultivating an exceptional workplace community with a positive culture that puts people first.

Benefits

TTUHSC is committed to creating an environment where our team members can do their best work, with programs and benefits to support head-to-toe well-being. Explore just a few of the advantages of being a TTUHSC team member:

• Health Plans + Supplemental Coverage Options- Individual health insurance provided at no cost for full-time team members
• Paid Time Off- Including holidays, vacation, sick leave and more
• Retirement Plans
• Wellness Programs
• Certified Mother-Friendly Workplace

Additionally, TTUHSC invests in the success of our team members by providing opportunities for personal and professional growth, including lifelong learning programs, recognition programs, and health and wellness initiatives. Team members also enjoy a variety of other perks, such as special membership rates at local gyms and golf courses, access to state-of-the-art software and facilities, and discounts on travel, technology, entertainment and more.

Visa Information

TTUHSC, at its sole discretion, may initiate new H-1B I-129 visa petitions in accordance with the directive issued by Governor Abbott. Approval from the Texas Workforce Commission is required. On a limited, case-by-case basis, the institution may also sponsor eligible individuals for change-of-status or change-of-employer petitions for qualifying positions. TTUHSC will not pay the $100,000 fee, if applicable.