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42640BR

Extended Job Title:

Senior Medical Billing Associate

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:

42640BR

Travel Required:

None

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 via E-Cashiering portal, JPM HC Link, Phreesia, Vpay, Self-Pay, Credit Cards, NSF Recoveries, Attorney checks and Mail payments to patient accounts on a daily basis. Review posting transactions and ensure posted transactions balance to payment file received and established department posting standards are met on a daily basis. 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 if not currently available.

+ 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 and process accordingly payments, adjustments, and/or reversals on a daily basis (following a batch system; prepare for refund, transfer money and/or reverse adjustments / write offs).

+ 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 licensure, certifications and mandatory compliances and trainings required of 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?:

No

Minimum Hire Rate:

Compensation is commensurate upon the qualifications

Pay Basis:

Hourly

Work Location:

El Paso

Preferred Qualifications:

+ Experience in Centricity Business System preferred. At least one year of payment posting experience in a medical setting.

+ Ability to read and understand insurance EOBs. Ability to analyze patient 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.

+ Proficient in MS Outlook, Word and Excel. Basic knowledge in Accounting. Good Communication Skills.

+ Ability to understand and follow oral and written instructions.

+ Ability to work independently and in a team environment.

+ Bilingual English/Spanish preferred.

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

Position Specific:

+ Three (3) years of medical or general office experience with preference in billing or collections OR Two (2) years of service at TTUHSC

+ Aptitude to make accurate and rapid calculations using a calculator

+ Basic knowledge in Accounting and Medical insurance terminology

+ Must have the ability to interact and communicate effectively with a wide variety of people

+ Ability to understand and follow oral and written instructions

+ Skillful in MS Outlook, Word and Excel

+ 10 key pad proficient

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. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx