Medical Billing Specialist

Medical Billing Specialist

Responsible for ensuring accurate billing for timely submission of claims, monitoring claim status, investigating claim denials / rejections, and documenting related account activities.

Major / Essential Functions :

• Responsible for updating current patient account demographic and insurance information within the patient accounting system.
• Patient registration; register new patients with current and pertinent patient information.
• Coordinate and clarify with insurance payer codes regarding incomplete information necessary for proper account / claim adjudication.
• Analyze and interpret patient account information; ensure claims will submit to insurance companies in a timely manner.
• Perform follow-up with Medicare, Medicaid, Medicaid, Managed Care, and Commercial insurance companies on unpaid insurance accounts.
• Address Third Party coding vendor's queries to clarify and to complete the claim filing process.
• Process appeals online or via paper submission.
• Assist with billing audits and / or related information.
• Process refund requests.
• Attend provider, staff and departmental meetings / trainings as directed.
• Communicate daily with insurance payers via insurance portals, phone calls, and written communications.
• Identify trends, and carrier issues relating to billing and reimbursements. Report findings to billing lead / supervisor or designee.
• Pursue and participate in education to remain current with changes in the Healthcare industry.
• Maintain confidentiality of all patient information in compliance with HIPAA regulations.
• Remain current with all licensure, certifications and mandatory compliances and trainings required of this position.
• Adhere to all policies, procedures and practices (Regents Rules, TTUS, HSECEP OPs, etc.).
• Personally, and consistently, demonstrate, display and act in accordance with Texas Tech Health El Paso's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staff across the institution.
• 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 :

Campus : HSC - El Paso

Department : Medical Coding SOM ELP

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 be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.

Required Qualifications :

Does this position work in a research laboratory? No

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