Medical Office Billing Clerk - Intermediate (UTHP)

The University of Texas Health Science Center at San Antonio.

• San Antonio, TX

• 
  Long-term.
• 
  Full-time.

Job Summary:

Under basic supervision, accountable for performing any mix of regular determining, posting, and verifying duties to get primary insurance data for usage in preparing statements to clients’ insurance coverage carriers. Might prepare notifications to clients of the amount anticipated (or received) from the patient’s insurance coverage and amount anticipated.

Job Responsibilities: Evaluations claims that have been adjudicated by Medicare, Medicaid, and Industrial providers for suitable billing.

• Addresses rejected claims, claims pended for medical necessity and claims pending for supporting documents and/or medical records by working with various teams such as center staff, registration personnel, and coding personnel to complete appeals.
• Extracts details relating to patient treatment from medical records and works carefully with coding personnel to compose individualized appeal letters.
• Recognizes payor particular patterns or patterns regarding denials and reports to management for interaction to Medical Departments and Administrators.
• Makes the required suggestions concerning billing and modify development to minimize denials.
• Makes use of numerous collection procedures such as appeals or collection notices by mail, electronic correspondence, and telephone interaction with payor agents.

Education:

• A high school diploma or GED is needed.

Experience:

• 3 (3) years of related experience to consist of scientific setting is needed.
• Medical/Dental coding experience is chosen.
• Detail-oriented with the capability to arrange, prioritize, and coordinate work within schedule restrictions and manage emergent requirements immediately.
• Capability to keep track of crucial and intricate jobs simultaneously.
• Knowledge of Microsoft Word, Excel, PowerPoint, and Lotus Notes/other email software.
• Capability to effectively interact orally and in composing, to supply exceptional customer service, to include composing and preparing memorandums, letters, and other official correspondence.

Extra Details

The University of Texas Health Science Center at San Antonio.

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