University of Texas Health Science Center Medical Office Billing Clerk-Intermediate in San Antonio, Texas
High school diploma or GED with three (3) years of related experience to include clinical experience.
Position requires clerical skills involving billing of third party insurance claims to Medicare, Medicaid, Governmental plans, Exchange plans, and other Commercial insurance companies.
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.
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
Address denied claims, claims pended for medical necessity and claims pending supporting documentation and/or medical records.
Percentage Of Time 30
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
Remain current on all payor specific guidelines.
Percentage Of Time 10
We are an equal opportunity/affirmative action employer which includes protected veterans and individuals with disabilities.
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.