Job Description

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

Application Instructions

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