Medical Billing Associate

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. 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 Analyze data to accurately reflect reimbursement amounts as per payor contracts using the Payor Contract Module. Review, analyze and process contractual underpayment appeals, preparing written communication of the appeal, and providing completion on resolving the underpayments pertaining to payer contracts in a timely manner. Maintain fee schedules, serves as a resource for fee schedule clarification while responding to pricing requests, contract and reimbursement related question within established time frames. Monitor contract performance in terms of reimbursement, utilization and AR follow up issues. Analyze payments related to the No Surprises Act and the Independent Resolution process (IDR) and provide an appeal solution to successfully resolve the dispute. Assist with other projects, analyses, and duties as assigned by Director of Analytics and/or Managing Director of the business office. Work assigned tasks and stages via ETM and Epic. 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. Preferred Qualifications Experience faxing documents within a medical office. Experience and/or knowledge of medical insurance carriers and financially assisted government programs. Experience and/or knowledge of computing rate, ratio and percent, then producing graph drawings and interpretations. Required Attachments Cover Letter, Resume / CV Optional Attachments Professional/Personal Reference Benefits TTUHSC is committed to creating an environment where our team members can do their best work, with programs and benefits to support head-to-toe well-being. Explore just a few of the advantages of being a TTUHSC team member: Health Plans + Supplemental Coverage Options - Individual health insurance provided at no cost for full-time team members Paid Time Off - Including holidays, vacation, sick leave and more Retirement Plans Wellness Programs Certified Mother-Friendly Workplace Additionally, TTUHSC invests in the success of our team members by providing opportunities for personal and professional growth, including lifelong learning programs, recognition programs, and health and wellness initiatives. Team members also enjoy a variety of other perks, such as special membership rates at local gyms and golf courses, access to state-of-the- travel, technology, entertainment and more. EEO Statement All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran. #J-18808-Ljbffr