Medical Billing Associate

Texas Tech University Health Sciences Center; Lubbock (TX); On-site; USD 32,000 - 52,000; Full time

Benefits offered by this job

Health Plans

Paid Time Off

Retirement Plans

Wellness Programs

Mother-Friendly Workplace

Job summary

Texas Tech University Health Sciences Center in Texas seeks a Billing Specialist to maintain patient billing accounts, perform registration, insurance follow-up, and financial screening of unfunded patients in the Regional Campus Business Office. You will handle inquiries, post payments, and help collect unpaid balances.

The role requires accuracy, confidentiality, and collaboration with the analytics team. Experience with Epic and ETM is helpful; strong communication is valued.

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.

Responsibilities

• Maintain patient billing accounts and related tasks in the Regional Campus Business Office.
• Perform patient registration, insurance follow-up, and financial screening of unfunded patients.
• Answer patient billing inquiries and post payments; monitor and collect unpaid balances.
• Ensure HIPAA confidentiality and compliance with federal, state, and institutional guidelines.
• Assist with projects and analyses as assigned by the Director of Analytics and Managing Director of the business office.
• Work with ETM and Epic on assigned tasks and stages.

Skills

Medical office experience

Attention to detail

Communication skills

Education

High school diploma or equivalent

1 year of related experience or training

Tools

Epic

ETM

Job description

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.