Medical Office Billing Clerk-Intermediate (UTHP ADM Central Verification)

UT Health San Antonio; San Antonio (TX); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a Medical Office Billing Clerk-Intermediate to join their team. This role involves performing essential billing tasks, ensuring accuracy in claims, and collaborating with various staff to resolve issues. Candidates should possess strong organizational skills and effective communication abilities, with a focus on detail and efficiency. If you have experience in a clinical setting and enjoy working in a dynamic environment, this opportunity could be the perfect fit for you. Join a team dedicated to providing quality healthcare services and make a meaningful impact in the community.

Qualifications

• Detail-oriented with strong organizational and coordination skills.
• Three years of experience in a clinical setting preferred.

Responsibilities

• Review claims for proper billing and handle denied claims.
• Collaborate with staff to complete appeals and reduce denials.

Skills

Detail-oriented

Organizational skills

Prioritization skills

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Effective communication

Education

High school diploma or GED

Tools

Lotus Notes

Job description

Join to apply for the Medical Office Billing Clerk-Intermediate (UTHP ADM Central Verification) role at UT Health San Antonio

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Join to apply for the Medical Office Billing Clerk-Intermediate (UTHP ADM Central Verification) role at UT Health San Antonio

Job Description

Under general supervision, responsible for performing routine calculating, posting, and verifying duties to obtain primary insurance data for use in preparing statements to patients' insurance carriers. May prepare notices to patients of amounts expected or received from insurance and amounts expected from patients.

Responsibilities

• Review claims adjudicated by Medicare, Medicaid, and Commercial carriers for proper billing.
• Handle denied claims, pended claims for medical necessity, and claims pending supporting documentation by collaborating with clinic staff, registration staff, and coding staff to complete appeals.
• Extract treatment information from medical records and work with coding staff to prepare appeal letters.
• Identify patterns or trends in claim denials and report to management for communication to Medical Departments and Administrators.
• Recommend billing and editing strategies to reduce denials.
• Stay current with payor-specific guidelines.
• Utilize collection processes such as appeals, collection notices, electronic correspondence, and phone communication with payor representatives.
• Perform other duties as assigned.

Qualifications

• Detail-oriented with good organizational, prioritization, and coordination skills within schedule constraints.
• Ability to monitor multiple complex projects concurrently.
• Proficiency in Microsoft Word, Excel, PowerPoint, Lotus Notes, or similar email software.
• Effective oral and written communication skills, including composing memorandums, letters, and official correspondence.

Education

• High school diploma or GED required.

Experience

Minimum of three (3) years of related experience, including clinical setting; medical/dental coding experience preferred.

License and Certification

None required.

Required Skills

Three (3) years of related experience, including clinical setting; medical/dental coding experience preferred.