Job Information
Texas Tech University Health Sciences Center – El Paso Sr Medical Billing Associate (MPIP/Alberta) in El Paso, Texas
37429BR
Extended Job Title:
Sr Medical Billing Associate (MPIP/Alberta)
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:
37429BR
Travel Required:
Up to 25%
Major/Essential Functions:
Review patient accounts with credit balances and process accordingly (following a batch system: prepare account for refund, transfer money, and/or reverse adjustment)
Process patient and insurance refunds in the MPIP Refund System and post refund check transactions in Centricity Business System (CBIZ) using IDX script posting. Preform necessary corrections to exception based error report, void and reissue checks accordingly
Complete state dated checks project on a yearly basis and take leadership of project from start to finish
All other duties and/or projects as assigned by Supervisor/Management
Process all void checks in Cognos System and works with Accounting Services Department to void, do stop payment or re-issue checks. Mail patient and insurance refund overpayments to the corresponding endorsed entity. Upon receipt of refund checks, gather and prepare refund backup documentation for batching in the Internal Document Repository application
Update HD and HD/HCO Master sheet file and ensure it reflects all monthly transactions from ESI.
Assist management to process patient and/or insurance refunds for the Institutional Office of Compliance and/or Audit Services timely and accurately as defined by their audit review findings. Assist in submitting charge correction request in share point as needed
Process all returned checks and daily correspondence in the CBIZ practice management system. Research patient account activity, transfer, void and /or reissue checks
Review patients accounts with credit balances in EMT (Electronic Task Manager) Workflow and resolve tasks in timely
manner. Process, hold, open and completed outcomes in the EMT workflow to assure data is captured and recorded in the KAV system for reporting metrics
Process and document in CBiz certified refund letter request sent to insurances
Assist patients and/or insurances companies with refund related inquires in a timely manner
Assist Business Office and Clinical Departments with refund and/or transfer requests. Work with all TTUHSC departments to verify and resolve patient credit issues. Respond department calls and emails within 24-48 hours
Assist management with email requests in a timely manner
Assist the Posting team to post all Commerical, 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
Adhere to all TTUHSCEP policies, procedures and processes
Personally demonstrate, display, and act in accordance with TTUHSCEP 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:
Two (2) years of medical or general office experience OR Completion of related education or training and one (1) year of experience
Skillful in MS Outlook, Word and Excel
Basic knowledge in Accounting
Good Communication Skills.
Ability to understand and follow oral and written instructions
10 key pad proficient
Working knowledge of Insurance EOB's
Ability to evaluate payment discrepancies. 2 years of clerical experience, preferably in a medical or educational setting
At least 1-2 years of patient and insurance refund experience in medical setting
Extensive knowledge and understanding of Medicare, Medicaid and Commercial Insurance plans.
Proficiency to read, analyze and understand all types of insurance Explanation of Benefits (EOB
Ability to analyze invoices and evaluate duplicate payments and determine refund based on patients insurance carrier profile
Aptitude to multi-task and manage several projects at one time
Ability to work independently and in a team environment
Experience in Centricity Business System preferred
Basic knowledge of accounting preferred
Bilingual English/Spanish
Campus:
HSC - El Paso
Department:
MPIP Account Quality
Required Attachments:
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:
As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran.
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?:
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