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Sr Medical Billing Associate

Texas Tech University Health Sciences Center - El Paso • El Paso, TX • 1d ago

42922BR

Extended Job Title:

Org Level 1:

Texas Tech Unv Hlth Sci Ctr El Paso

Position Description:

Employees in this position are responsible for the maintenance and review of patient billing accounts. Performs numerous related functions that include but are not limited to 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 or department. Assists in production and/or analysis of reports and contributes to employee professional development through training and being an exemplary role model in execution of duties and personal conduct. Maintains confidentiality in accordance with HIPAA standards and complies with all federal, state, and institutional guidelines.

Requisition ID:

42922BR

Travel Required:

Up to 25%

Major/Essential Functions:

Post all manual insurance payments and ZERO pay EOBs. Extract daily non electronic EOB's from payor's portal. Daily post all Commercial, Government, Workers Comp and other Insurance payments and/or adjustments to patient accounts either manually and/or electronically in accordance to the Explanation of Benefits (EOB). Review posting transactions, manually work edit list and balance to payment file received within established department posting standards.

Apply patient payments received through JPM Healthcare Link accurately. Post Phreesia credit card payments, V-Pay, self-pay payments, NSF recoveries, attorney checks, and mail payments received to patient accounts on a daily basis. Review and reconcile all posted transactions to ensure they balance with the corresponding payment files received. Verify that all postings adhere to established departmental posting standards and timelines. Maintain detailed documentation and audit trails for all payment posting activities to ensure accuracy, compliance, and accountability. Assist department Supervisor in posting and recording Special Programs, Grants, Contracts and Incentive payments received. Complete and resolves assigned daily ETM Payment Posting related tasks

Assist MPIP department in reviewing daily correspondence and entering insurance denials and rejections. Insurance denials and rejections are critical for insurance follow ups and payment reprocessing. EOB's are necessary in order to post all payments and need to be downloaded from insurance websites if not currently available when posting. Post electronic 835 remit file for Hospital District HD/HCO on a monthly basis. Review posting transactions, manually work the exception report and balance payment file.

Collaborate with Refund department to review patient accounts with credits. Process credits accordingly by reversing adjustments/write offs if needed. Verify invoice does not have a pending offset which needs to be worked. Provide assistance and training to current and/or new staff members. Prepares spreadsheets and distributes ACH deposit when department Supervisor is off.

Remains current with all licensures, certifications and mandatory compliances and trainings required for this position.

Adhere to all TTUHSCEP policies, procedures and processes.

Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork).

Perform all other duties as assigned.

Grant Funded?:

Minimum Hire Rate:

Compensation is commensurate upon the qualifications

Pay Basis:

Hourly

Work Location:

El Paso

Preferred Qualifications:

Experience in Athena Health IDX, preferred.

At least 2-3 years of payment posting experience in a medical setting.

Ability to read and understand insurance EOB's.

Ability to analyze invoice, post patient and insurance payments and/or adjustments as noted by patients' insurance carrier.

Ability to multi-task and manage several projects at one time.

Ability to work independently and in a team environment.

Campus:

HSC - El Paso

Department:

MPIP Account Quality

Required Attachments:

Resume / CV, Transcript

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 on the Human Resources webpage.

Job Group:

Information and Records Clerks

Shift:

Day

EEO Statement:

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

Required Qualifications:

A minimum of a high school diploma or equivalent

Three years of medical or general office experience with preference in billing or collections OR Two years of medical billing experience at TTUHSC

Does this position work in a research laboratory?:

Navy Enlisted Classification Code:

YN, HM

Air Force Specialty Code:

3A1X1, 4A0X1

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