Clinical Billing & Payment Associate

Clinical Billing & Payment Associate

Texas A&M University Health Science Center

Oral Surgery

Proposed Salary: $20.00 hourly

Work Schedule/Location: Located in Dallas, TX, this an on-site role with a typical schedule of Monday Friday 8am to 5pm.

Cover Letter/Resume: A cover letter and resume will assist us in our review of your application materials. These can be uploaded on the application under CV/Resume.

Texas A&M University is committed to enriching the learning and working environment by promoting a culture that respects all perspectives, talents & lived experiences. Embracing varying opinions and perspectives strengthens our core values which are: Respect, Excellence, Leadership, Loyalty, Integrity, and Selfless Service.

A part of the Texas A&M University Health Science Center, Texas A&M College of Dentistry in Dallas was founded in 1905 and is a nationally recognized center for oral health sciences education, research, specialized patient care and continuing dental education. As one of the fastest-growing academic health centers in the nation, the Texas A&M University Health Science Center encompasses five colleges and numerous centers and institutes working together to improve health through transformative education, innovative research and team-based health care delivery.

The College of Dentistry is looking for a Clinical Billing & Payment Associate to serve in the department of Oral Surgery. We desire an individual who subscribes to and supports our commitment as stated above. The successful applicant will bring an expert level of experience to the position and understand the demands of supporting executives in a fast-paced environment. This person must be professional, enjoy working in a high-volume environment and be able to apply strong organizational skills while being flexible in their daily routine. If this is you, we invite you to apply to become a member of our team.

Required Education and Experience

• High school diploma or equivalent combination of education and experience.
• Two years of related experience in clinical billing, medical coding, payment posting, claims processing or related.

Preferred Qualifications

• Associate's degree or higher in business administration or closely related field.
• Four years of related experience in clinical billing, medical coding, payment posting, claims processing or related.
• Experience with revenue cycle management. Experience with Epic EMR
• AAPC or AHIMA Medical Coding Certification
• Extensive understanding of medical billing and Texas Medicaid
• Familiarity with electronic medical record systems, specifically EPIC; certified billing coder.
• Knowledge of TAMU rules and regulations.

Knowledge, Skills and Abilities

• Expertise in clinical billing, claims processes and payment posting
• Knowledge of HIPAA guidelines, general understanding and working knowledge of electronic medical record systems (such as Epic)
• Knowledge of word processing and Microsoft Excel spreadsheet applications.
• Effective verbal and written communication skills.
• Strong interpersonal, leadership, problem solving, and organizational skills.
• Strong attention to detail and ability to utilize sound judgment.
• Ability to work cooperatively with others

Responsibilities

• Payment Posting and Reconciliation
• Accurately posts payments received from various payers (insurance, patients) into the medical billing or practice management system.
• Posts claim denials and takes necessary actions, such as resubmitting claims or transferring balances to patients.
• Collects and matches payments to patient accounts and ensuring the accuracy of financial records and creates a report for designated personnel.
• Explanation of Benefits
• Retrieves explanation of benefits (EOBs) for all insurance payments received.
• Interprets and processes electronic remittance advice (ERAs) and explanations of benefits (EOBs) from insurance payers to apply payments correctly.
• Investigates and resolves any issues, exceptions, or discrepancies found during the payment posting process.
• Customer Service
• Checks in patients, assisting them with their questions and needs.
• Verifies patients' insurance eligibility and benefits and obtains referrals and/or authorizations required for payment.
• Calls patients and insurance companies to investigate insurance and patient benefits.
• Presents and explains Dental and Medical treatment plans to patients.

Why Texas A&M University?

• Medical, prescription drug, dental, vision, life and AD&D, flexible spending accounts, and long-term disability insurance with Texas A&M contributing to employee health and basic life premiums
• 12-15 days of annual paid holidays
• Up to eight hours of paid sick leave and at least eight hours of paid vacation each month
• Automatic enrollment in the Teacher Retirement System of Texas
• Health and Wellness: Free exercise programs and release time
• Professional Development: All employees have access to free LinkedIn Learning training, webinars, and limited financial support to attend conferences, workshops, and more
• Educational release time and tuition assistance for completing a degree while a Texas A&M employee
• Living Well, a program at Texas A&M that has been built by employees, for employees

Instructions to Applicants: Applications received by Texas A&M University must either have all job application data entered, or a resume attached. Failure to provide all job application data or a complete resume could result in an invalid submission and a rejected application. We encourage all applicants to upload a resume or use a LinkedIn profile to prepopulate the online application.

All positions are security-sensitive. Applicants are subject to a criminal history investigation, and employment is contingent upon the institution's verification of credentials and/or other information required by the institution's procedures, including the completion of the criminal history check.

Equal Opportunity/Veterans/Disability Employer.

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