TTUHSC
Sr Medical Billing Associate (MPIP/Alberta)
TTUHSC, El Paso, Texas, us, 88568
Extended Job TitleSr Medical Billing Associate (MPIP/Alberta)
Org Level 1Texas Tech Unv Hlth Sci Ctr El Paso
Position DescriptionEmployees 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 ID38319BR
Travel RequiredUp to 25%
Major/Essential FunctionsReview 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. Perform necessary corrections to exception based error report, void and reissue checks accordinglyComplete state dated checks project on a yearly basis and take leadership of project from start to finishAll other duties and/or projects as assigned by Supervisor/ManagementProcess all void checks in Cognos System and work 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 applicationUpdate 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 neededProcess all returned checks and daily correspondence in the CBIZ practice management system. Research patient account activity, transfer, void and/or reissue checksReview 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 metricsProcess and document in CBiz certified refund letter request sent to insurancesAssist patients and/or insurances companies with refund related inquiries in a timely mannerAssist 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 hoursAssist management with email requests in a timely mannerAssist the Posting team to 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 standardsAdhere to all TTUHSCEP policies, procedures and processesPersonally 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 RateCompensation is commensurate upon the qualifications
Pay BasisHourly
Work LocationEl Paso
Preferred QualificationsTwo (2) years of medical or general office experience OR Completion of related education or training and one (1) year of experienceSkillful in MS Outlook, Word and ExcelBasic knowledge in AccountingGood Communication Skills.Ability to understand and follow oral and written instructions10 key pad proficientWorking knowledge of Insurance EOB'sAbility to evaluate payment discrepancies. 2 years of clerical experience, preferably in a medical or educational settingAt least 1-2 years of patient and insurance refund experience in medical settingExtensive 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 profileAptitude to multi-task and manage several projects at one timeAbility to work independently and in a team environmentExperience in Centricity Business System preferredBasic knowledge of accounting preferredBilingual English/Spanish
CampusHSC - El Paso
DepartmentMPIP Account Quality
Required AttachmentsTranscript
Job TypeFull Time
Pay StatementCompensation 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 GroupInformation and Records Clerks
ShiftDay
EEO StatementAs 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 QualificationsA minimum of a high school diploma or equivalentThree 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
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Org Level 1Texas Tech Unv Hlth Sci Ctr El Paso
Position DescriptionEmployees 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 ID38319BR
Travel RequiredUp to 25%
Major/Essential FunctionsReview 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. Perform necessary corrections to exception based error report, void and reissue checks accordinglyComplete state dated checks project on a yearly basis and take leadership of project from start to finishAll other duties and/or projects as assigned by Supervisor/ManagementProcess all void checks in Cognos System and work 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 applicationUpdate 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 neededProcess all returned checks and daily correspondence in the CBIZ practice management system. Research patient account activity, transfer, void and/or reissue checksReview 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 metricsProcess and document in CBiz certified refund letter request sent to insurancesAssist patients and/or insurances companies with refund related inquiries in a timely mannerAssist 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 hoursAssist management with email requests in a timely mannerAssist the Posting team to 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 standardsAdhere to all TTUHSCEP policies, procedures and processesPersonally 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 RateCompensation is commensurate upon the qualifications
Pay BasisHourly
Work LocationEl Paso
Preferred QualificationsTwo (2) years of medical or general office experience OR Completion of related education or training and one (1) year of experienceSkillful in MS Outlook, Word and ExcelBasic knowledge in AccountingGood Communication Skills.Ability to understand and follow oral and written instructions10 key pad proficientWorking knowledge of Insurance EOB'sAbility to evaluate payment discrepancies. 2 years of clerical experience, preferably in a medical or educational settingAt least 1-2 years of patient and insurance refund experience in medical settingExtensive 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 profileAptitude to multi-task and manage several projects at one timeAbility to work independently and in a team environmentExperience in Centricity Business System preferredBasic knowledge of accounting preferredBilingual English/Spanish
CampusHSC - El Paso
DepartmentMPIP Account Quality
Required AttachmentsTranscript
Job TypeFull Time
Pay StatementCompensation 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 GroupInformation and Records Clerks
ShiftDay
EEO StatementAs 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 QualificationsA minimum of a high school diploma or equivalentThree 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
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