BILLING CLERK

Office Location
The University of Texas Rio Grande Valley
1201 W. University Drive
Human Resources
MASS Building 2 nd Floor
Edinburg, TX 78539

Edinburg:
Brownsville:
Office hours:
Monday-Friday
8:00a.m.

- 5:00p.m.

Faculty Recruitment:
College of Engineering & Computer Science: cecs

Robert

C. Vackar College of Business & Entrepreneurship: cobe

Dear Applicant, Human Resources will not be held responsible for redacting any confidential information from the documents you attach with your application. The confidential information includes the following:
* Date of Birth
* Social Security Number
* Gender
* Ethnicity/Race Please make sure that you omit this information prior to submission. We are advising that Human Resources will be forwarding your application to the department as per your submission. If you have any questions, please do not hesitate to contact us at  and/or careers.

Position Information

Posting Number

Posting Number SRGV
6870

Working Title

Working Title BILLING CLERK

Number of Vacancies

Number of Vacancies 3

Location

Department

Department School of Medicine / Clinical Affairs

FTE

FTE 1.0

FLSA

FLSA Non-Exempt

Scope of Job

Responsible for conducting patient registration, insurance verification, scanning, printing, and posting payments and adjustments in the Electronic Medical Records ( EMR ) system.

Description of Duties

• Registers new patients by obtaining patient demographics and third-party coverage(s) for encounters from our partner EMR systems and MaxRVU application.
• Obtains and verifies insurance coverage for patients received via Interfaces in accordance with health plan guidelines.
• Responsible for posting payments and adjustments received from other EMR systems, including posting all adjustment and reconciling payments daily for the CBO.
• Updates/corrects patient demographic and insurance emergency contact information received from EMR systems.
• Assists Billing Specialists in printing medical records and scanning information into EMR system.
• Maintains patient confidentiality regarding access to patient and other clinical information via email, computer, fax and mail.
• Prepares and distributes payor and patient correspondence received by the CBO.
• Responsible for contacting clinics, obtaining and entering referral information and/or prior authorizations as required for billing.
• Responds to calls and ensures caller’s needs are met and accurate information is obtained.
• Obtains and documents information required for third-party reimbursement.
• Assists in ensuring compliance with Medicare and third-party payor requirements and guidelines.
• May assist the Revenue Cycle Department with gathering data for provider audits or billing information such as: obtaining/printing medical records for provider audits, verifying claims were billed and paid, etc.
• Acts as patient point of contact and liaisons with various departments to assist with required documentation.
• Participates in educational activities and attends staff meetings as scheduled.
• Performs other duties as assigned.

Supervision Received

General supervision from assigned supervisor.

Supervision Given

Direct supervision of assigned staff.

Required Education

High School diploma or equivalent.

Preferred Education

None.

Licenses/Certifications

None.

Required Experience

• Two (2) years of general office or clerical experience or
• One (1) years of medical, hospital, or healthcare billing experience.

Preferred Experience

Bilingual (English/Spanish). Medical, hospital, or healthcare billing experience. Thorough knowledge of registration, insurance verification, prior authorizations, customer service, posting, collections, reimbursement and payment reconciliation processes.

Equipment

Use of standard office equipment. Proficient with Electronic Health Record system. Microsoft Office applications preferred such as: MS Outlook & MS Excel and Word.

Working Conditions

Needs to be able to successfully perform all required duties. Office Environment; some travel and weekend work is required. UTRGV is a distributed institution, which requires presence at multiple locations throughout the Rio Grande Valley. Work is performed primarily in a general office environment across the Rio Grande Valley. Exerting up to 20 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

Other

Skill in data entry with minimal errors. Ability to communicate effectively in both oral and written form. Strong attention to detail. Knowledge of insurance plans and referral procedures.…