Medical Billing Associate

Texas Tech University•Lubbock, TX
•Hybrid

About The Position

Employees in this position will work a hybrid remote schedule and 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. Manage assigned ETM workflows by documenting actions, outcomes, and account activity in task notes, general comments, and financial comments while maintaining accurate billing records. Contact insurance carriers, patients, and employers via phone, email, fax, correspondence, and payer portals to obtain claim status, verify eligibility, gather billing information, and update patient account records. Process, submit, and rebill claims electronically whenever possible, ensuring accurate billing information and compliance with payer requirements. Review, research, and resolve billing inquiries, corrected claim requests, payer correspondence, claim denials, appeals, and claim redirects to support timely reimbursement. Reconcile daily batches, maintain balanced workflows, verify refund requests, and follow established policies and procedures to ensure billing accuracy and compliance. Research and communicate billing issues, payer updates, insurance notifications, and process changes through SharePoint, management channels, and other appropriate communication methods. Provide support across all accounts receivable functions, collaborate with internal stakeholders, and participate in departmental meetings to promote effective revenue cycle operations.

Requirements

  • 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

  • Maintenance of patient billing accounts
  • Patient registration
  • Insurance follow-up
  • Financial screening of unfunded patients
  • Answering patient billing inquiries
  • Collection of unpaid balances
  • Posting of payments
  • Managing assigned ETM workflows by documenting actions, outcomes, and account activity in task notes, general comments, and financial comments
  • Maintaining accurate billing records
  • Contacting insurance carriers, patients, and employers via phone, email, fax, correspondence, and payer portals to obtain claim status, verify eligibility, gather billing information, and update patient account records
  • Processing, submitting, and rebilling claims electronically
  • Reviewing, researching, and resolving billing inquiries, corrected claim requests, payer correspondence, claim denials, appeals, and claim redirects
  • Reconciling daily batches
  • Maintaining balanced workflows
  • Verifying refund requests
  • Following established policies and procedures
  • Researching and communicating billing issues, payer updates, insurance notifications, and process changes
  • Providing support across all accounts receivable functions
  • Collaborating with internal stakeholders
  • Participating in departmental meetings
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