University of Texas Health Science Center Medical Office Billing Clerk-Intermediate in San Antonio, Texas

Required Qualifications

High school diploma or GED with three (3) years of related experience to include clinical experience.

Job Description

Position requires clerical skills involving billing of third party insurance claims to Medicare, Medicaid, Governmental plans, Exchange plans, and other Commercial insurance companies.

Preferred Qualifications

1 – 2 years in medical billing experience. Working knowledge of insurance rules and regulations as they pertain to Managed Care, Medicare, Medicaid, Governmental, Exchange and Commercial carriers.

Job Duties

Job Duty

Review claims that have been adjudicated by Medicare, Medicaid, Governmental, Exchange and Commercial insurance plans for appropriate billing. Work on Rejection and Follow-up work queues.

Percentage Of Time 40

Job Duty

Address denied claims, claims pended for medical necessity and claims pending supporting documentation and/or medical records.

Percentage Of Time 30

Job Duty

Extract information regarding patient treatment from medical records to compose individualized appeal letters. Identify payor specific patterns or trends and report these back to their corresponding Supervisor or Manager. Make recommendations for Front-end edit creation to reduce the volume of denials.

Percentage Of Time 20

Job Duty

Remain current on all payor specific guidelines.

Percentage Of Time 10

EEO Statement

We are an equal opportunity/affirmative action employer which includes protected veterans and individuals with disabilities.

Salary: Competitive

Career Family: Finance

Job Title: Medical Office Billing Clerk-Intermediate

Work Location: UT Medicine

Benefits Eligible?: Yes

Work Schedule: Monday-Friday 8:00am-5:00pm

Number of hours per week: 40

Is this position required to drive a UT vehicle?: No

Combination of Relevant Education and Experience accepted: Yes

Requisition Number: 20162163

Security Sensitive Statement: All positions are security sensitive and will require criminal background checks.