Medical Billing Associate
- Employer
- Texas Tech University Health Sciences Center
- Location
- Lubbock
View more categoriesView less categories
- Employment Type
- Full Time
- Institution Type
- Four-Year Institution
Job Details
Medical Billing Associate
Org Level 1
Texas Tech Univ Health Sciences Ctr
Org Level 7
511237 - MPIP Admin Lbk
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
40036BR
Optional Attachments
Professional/Personal Reference, Professional License/Certification
Travel Required
Up to 25%
Pay Grade Maximum
Salary commensurate with education, experience and/or skills.
Major/Essential Functions
- Proactively assists with essential duties within the Business Office in a positive manner.
- Meets all the expectations of performance outlined in this PD as a Hybrid worker.
- Maintain work flows to be kept with >30 days until Timely Filing.
- Work invoices by date set.
- Work returns and transfers daily.
- Every task in a work flow must have a detailed task note documenting invoice status.
- Meet assigned ETM metrics set by MPIP management and/or policies and procedures.
- Prevents lost invoices by timely filing or past appeal deadlines.
- Effectively communicate with payers.
- Document complete notes in Task Notes within ETM.
- Contact must be made with specified payer time limit.
- Invoices must be fully researched to determine the correct and final reason for the rejection/denial.
- Re-assign to the appropriate ETM role.
- Document accurate and concise description in Task Notes of the issue and in general, the correction needed, (no specific coding request will be made under any circumstances).
- All appeals will be done on the correct form required by the payer or with the approved MPIP form letter. and should be processed in accordance with the individual payer requirements.
- Proper judgment with appeals so, one is not done when there is not an appropriate reason for the appeal.
- Medical Records will not be sent for appeals unless requested by the payer or requested by the provider's representative and with a valid reason, keeping HIPAA guidelines in mind.
- Accurately interpret the EOB.
- Ensure that the payment and all adjustments have been appropriately posted.
- Utilize the appropriate ANSI code (X12), when posting the payment or adjustments.
- Ensure all appropriate and requested documentation is attached and ensure all claims are put in the appropriate mailbox timely.
- Ensure items faxed include the institutional cover letter along with the needed documentation in accordance wit the Compliance office and polices and HIPAA rules and guidelines.
- Work report by the end of day on Friday of the week received.
- Correctly update the patient registration table to reflect the correct eligibility dates and FSC.
- Correct invoice FSC and bill all applicable service dates immediately.
- Accurately report issues on the MPIP SharePoint Site.
- Immediately notify management of issues.
- Follow through until resolution is obtained and all claims are adjudicated.
- Requires a thorough auditing of the patient account and all payment posting.
- Accurately post refund amounts; contractual adjustments and payer adjustments.
- Positively contributes to and supports all areas of the MPIP office as needed. 2. Work what is requested when it is requested.
Grant Funded?
No
Pay Grade Minimum
Salary commensurate with education, experience and/or skills.
Pay Basis
Hourly
Work Location
Lubbock
Preferred Qualifications
Additional experience in a clinic or physician's office preferred.
Campus
HSC - Lubbock
Department
MPIP Admin Lbk
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.
Job Group
Information and Records Clerks
Shift
Day
EEO Statement
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, 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.
Organization
TTUHSC operates five schools, multiple online programs and numerous facilities across the state of Texas, with campuses in Abilene, Amarillo, Dallas, and the Permian Basin (Midland & Odessa), in addition to our flagship campus in Lubbock, Texas.
As a university separate from Texas Tech University, we have been entrusted with a singular charge: to teach the next generation of researchers and health care professionals while simultaneously providing world-class patient care to the surrounding communities. We are both an institution of higher learning and a place where real people come for life-saving medical care.
What We Stand For: Inclusion, Vision & Values
Being part of the TTUHSC team means being part of a supportive community that empowers each individual and embraces all cultures, races, backgrounds, abilities and identities. Diversity and Inclusion are not just important—they are essential to our mission and integral to our purpose.
Five core values—One Team, Kindhearted, Integrity, Visionary, Beyond Service—drive everything we do. Through our Values-Based Culture, we are committed to promoting an exceptional, inclusive & equitable workplace.
Our Vision: “Transform health care through innovation and collaboration.” Here, everyone plays a vital role.
Compensation & Benefits
TTUHSC proudly provides many exceptional employee benefits, including a generous compensation package with comprehensive benefits, medical and dental insurance at no charge to the employee, paid time off (vacation, sick leave, and state holidays) and substantial automatic retirement contributions.
Additionally, we invest in employee success by providing many resources designed to support your personal wellness and professional growth, including:
Comprehensive Health Plans and Other Core Insurance
State Retirement Programs and Pension Options
Retiree Insurance for Lifetime Medical Benefits
Continuing Education & Lifelong Learning Programs
Tuition scholarships for employees and their dependents
Leadership and Professional Development Programs
Mental and Physical Wellness Programs
Employee Recognition Programs and Longevity Pay
We are excited for you to consider joining our team at the Texas Tech University Health Sciences Center. Nationally-recognized as a "Great College to Work For,” TTUHSC provides so much more than just a job!
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