Medical Billing Associate

Employees in this position 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.

• Work and maintain assigned ETM work flows using appropriate Outcome. Enter detailed documentation in Task Notes, and in General Comments or Financial Comments as appropriate.
• Contact patient or employer via phone and follow up with a formal request letter to attain current billing information, and update CPM and Athena IDX with the correct information and bill it as appropriate.
• Appeal and redirect claims, processing in accordance with the individual payer requirements.
• Ensure all batches have all the required documents and ensure the batch is not out of balance, daily.
• Posting or verifying rejections and/or payments from the Explanation of Benefits (EOB) or the Remittance and Status, (R&S).
• Process all claims, initial or rebills electronically unless not possible. 
• Process email requests and corrected claim requests utilizing all required information for effective claim resolution and work and resolve any mail received from the payer or any other source.
• Analyze, research and work the UMC Rescue Report.
• Research and report any billing issues or updates through the SharePoint sites as well as reporting them to management.
• Work refund requests to determine whether or not we agree with the request or not and follow the appropriate process to resolve it.
• Provide assistance as needed to ensure completion of essential duties within the team and A/R as well as within all areas of the MPIP office whenever needed.
• Collect insurance updates and notifications and inform the appropriate stake holders. These come from payer websites, faxes, newsletters, etc.
• Attend meetings.
• Meet standard metrics and KPIs as assigned by leadership or supervisors.

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.

Salary : $15 - $20