Medical Office Billing Clerk-Intermediate

Job Description

Under general supervision, responsible for performing any combination of 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 amount expected (or received) from insurance and amount expected from patient.

Responsibilities

• Reviews claims that have been adjudicated by Medicare, Medicaid, and Commercial carriers for appropriate billing.
• Addresses denied claims, claims pended for medical necessity, and claims pending for supporting documentation and/or medical records by working with various teams such as clinic staff, registration staff, and coding staff to complete appeals.
• Extracts information regarding patient treatment from medical records and works closely with coding staff to compose individualized appeal letters.
• Identifies payor specific patterns or trends regarding denials and reports to management for communication to Medical Departments and Administrators.
• Makes the necessary recommendations regarding billing and edit creation to reduce denials.
• Remains current in all payor specific guidelines.
• Utilizes various collection processes such as appeals or collection notices by mail, electronic correspondence, and telephone communication with payor representatives.
• Performs all other duties as assigned.
  
  

Qualifications

• Detail oriented with the ability to organize, prioritize and coordinate work within schedule constraints and handle emergent requirements in a timely manner.
• Ability to monitor important and complex projects concurrently.
• Knowledge of Microsoft Word, Excel, PowerPoint, and Lotus Notes/other email software.
• Ability to effectively communicate orally and in writing, to provide excellent customer service, to include writing and preparing memorandums, letters, and other official correspondence.
  
  

Education

• High school diploma or GED is required.
  
  

Experience

• Three (3) years of related experience to include clinical setting is required. Medical/Dental coding experience is preferred.
  
  

License And Certification

• None.
  
  

Required Skills

Three (3) years of related experience to include clinical setting is required. Medical/Dental coding experience is preferred.

About Us

Benefits Overview

UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.

Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists.

Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.

Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits. Life Employees receive $40,000 of group term life insurance and $40,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.

Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.

Time Off - A generous leave program offers multiple paid leave options:

• Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
• Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
• Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
• Holidays: 12 set paid holidays each year plus three floating holidays, which can be used anytime during the fiscal year.
  
  

FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.

Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.

EEO Statement

UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.