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Job Description
Medical Billing Associate
Lubbock
40036BR
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.
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 workflows to be kept within>30 days until Timely Filing.
- Work invoices by date set.
- Work returns and transfers daily.
- Every task in a workflow 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 a 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 descriptions in Task Notes of any issues and, in general, the correction needed (no specific coding request will be made under any circumstances).
- All appeals will be completed on the correct form required by the payer or with the approved MPIP form letter and should be processed per the individual payer requirements.
- Proper judgment with appeals so that one is not done when there is no 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 and the documentation needed per the Compliance office and policies and HIPAA rules and guidelines.
- Work report by the end of the 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.
- A thorough audit of the patient account and all payment postings is required.
- 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.
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.
To apply, please visit: https://sjobs.brassring.com/TGnewUI/Search/home/HomeWithPreLoad?partnerid=25898&siteid=5283&PageType=JobDetails&jobid=883569
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.
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.
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ABOUT THE COMPANY
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Texas Tech University Health Sciences Center
Show moreAbout Us
Nationally recognized for innovative programs, academic achievement, cutting-edge research and exceptional patient care, Texas Tech University Health Sciences Center aims to promote a greater health environment for West Texas and beyond. While our flagship campus resides proudly in Lubbock, Texas, TTUHSC operates five schools with campuses in Abilene, Amarillo, Dallas/Fort Worth, Lubbock and the Permian Basin (Midland & Odessa).
Like Texas itself, we are an independent and proud institution that is part of a larger union, the Texas Tech University System. As a university separate from Texas Tech University, we have been entrusted with a singular charge: to teach the next generation of doctors, nurses, pharmacists, researchers and health care professionals while simultaneously providing the people of West Texas with world-class patient care. We are both an institution of higher learning and a place where real people come for life-saving medical care.
Our Mission
As a comprehensive health sciences center, our mission is to enrich the lives of others by educating students to become collaborative health care professionals, providing excellent patient care, and advancing knowledge through innovative research.
Our Values & Culture
Through our values-based culture, TTUHSC is committed to cultivating an exceptional workplace community with a positive culture that puts people first. Our five values guide our actions and principles: Beyond Service, Kindhearted, Integrity, One Team, and Visionary.
Compensation & Benefits
We are proud to offer many exceptional employee benefits, including a generous compensation package with comprehensive benefits, medical and dental insurance, paid time off and substantial automatic retirement contributions. Additionally, we invest in employee success by providing many resources designed to support your personal 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. Consistently ranked as a "Great College to Work For" by the Chronicle of Higher Education, TTUHSC provides so much more than just a job!
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