• Medical Billing Specialist

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)


    43131BR

    Extended Job Title:

    Medical Billing Specialist

    Org Level 1:

    Texas Tech Unv Hlth Sci Ctr El Paso

    Position Description:

    Responsible for ensuring accurate billing for timely submission of claims, monitoring claim status, investigating claim denials/rejections, and documenting related account activities.

    Requisition ID:

    43131BR

    Optional Attachments:

    Transcript

    Travel Required:

    None

    Major/Essential Functions:

    + Responsible for updating current patient account demographic and insurance information within the patient accounting system.

    + Patient registration; register new patients with current and pertinent patient information.

    + Coordinate and clarify with insurance payer codes regarding incomplete information necessary for proper account/claim adjudication.

    + Analyze and interpret patient account information; ensure claims will submit to insurance companies in a timely manner.

    + Perform follow-up with Medicare, Medicaid, Medicaid, Managed Care, and Commercial insurance companies on unpaid insurance accounts.

    + Address Third Party coding vendor’s queries to clarify and to complete the claim filing process.

    + Process appeals online or via paper submission.

    + Assist with billing audits and/or related information.

    + Process refund requests.

    + Attend provider, staff and departmental meetings/trainings as directed.

    + Communicate daily with insurance payers via insurance portals, phone calls, and written communications.

    + Identify trends, and carrier issues relating to billing and reimbursements. Report findings to billing lead/supervisor or designee.

    + Pursue and participate in education to remain current with changes in the Healthcare industry

    + Maintain confidentiality of all patient information in compliance with HIPAA regulations.

    + Remain current with all licensure, certifications and mandatory compliances and trainings required of this position.

    + Adhere to all policies, procedures and practices (Regents Rules, TTUS, HSECEP OPs, etc.).

    + Personally, and consistently, demonstrate, display and act in accordance with Texas Tech Health El Paso’s Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staff across the institution.

    + 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:

    + Associate's degree preferred.

    + Understanding of Medicare, Medicaid eligibility requirements and commercial insurance payer payment methods.

    + Knowledge of billing-related systems (i.e., Athena, CBiz, Cerner, etc.).

    + Demonstrated proficiency with MS Word and Excel.

    Campus:

    HSC - El Paso

    Department:

    Medical Coding SOM ELP

    Required Attachments:

    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 (https://app4.ttuhsc.edu/payplan/) .

    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:

    + High School diploma or equivalent (GED)

    + Minimum 6 mos. experience with medical coding and/or billing

    + Demonstrated knowledge and understanding and/or experience with CMS regulations/industry standards

    + Demonstrated knowledge of CPT, ICD-9/10 codes and HCFA 1500.

     

    Does this position work in a research laboratory?:

     

    No

    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