Job Description

42737BR

Extended Job Title:

Medical Billing Specialist

Org Level 1:

Texas Tech Unv Hlth Sci Ctr El Paso

Position Description:

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

Requisition ID:

42737BR

Optional Attachments:

Transcript

Travel Required:

None

Major/Essential Functions:

• Process weekly Hospital based service reports. In Athena IDX, this may include registering new accounts, updating established accounts, creating visits, identifying auth numbers, and verifying insurance eligibility

• Process daily queries on portals to identify hospital-based services for billing

• Process ETM tasks by verifying benefits, updating account information, correcting edits, performing follow-up on unpaid claims, billing or re-billing claims to appropriate payer source, and appealing denied claims

• On rotating schedule, collect billing documents from various hospital and/or clinical locations

• Print and mail Ceequence appeals saved on MPIP SharePoint

• Other duties as assigned by Supervisor and/or Manager

• Process Radiology accounts through the Fee Ticket portal

• Remains current with all licensure, certifications and mandatory compliances and trainings required of this position.

• 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)

Grant Funded?:

No

Minimum Hire Rate:

Compensation is commensurate upon the qualifications

Pay Basis:

Hourly

Work Location:

El Paso

Preferred Qualifications:

• Knowledge of HIPAA billing guideline requirements

• Bilingual: English/Spanish

• Knowledgeable and proficient in the use of GE Centricity, SharePoint and Cerner

• Knowledge of Medicare, Sate Medicaid and Commercial insurance product guideline billing requirements

• Knowledge of current CPT Codes, ICD-9, ICD-10 and HCFA 1500

• 10 Key Calculator by touch

• Ability to follow Texas Tech, State and Federal guidelines in conformity with policies and procedures

• Experience with computers, Microsoft word and Excel

• Analytical ability to comprehend, interpret and explain complex contract terms

• Ability to work under stress and deadlines

• Ability to plan, organize, and supervise the work of office staff personnel

• Ability to make sound decisions and work effectively under stressful situations

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:

• High School diploma or equivalent (GED)

• Minimum 6 mos. experience with medical coding and/or billing

• Demonstrated knowledge and understanding and/or experience with CMS regulations/industry standards

• Demonstrated knowledge of CPT, ICD-9/10 codes and HCFA 1500.

Does this position work in a research laboratory?:

No

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:

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