Billing Specialist I - Clinic

Location

Dallas, TX | United States

Job description

JOB SUMMARY:

UT Southwestern Medical Center has a new opportunity for a Billing Specialist I within the Department of Ambulatory Nursing HSN-Clinic Aston Infusion team. The duties for this position may include but is not limited to the following: 

• Code infusion service (All HCPCS and CPT codes needed for infusion). 
• Perform benefit investigations for all incoming infusion referrals using codes. 
• Obtain pre-service authorizations, including peer to peer, letters of medical necessity and appeals. 
• Perform benefit investigations.
• Assist back-end denials team with trying to overturn insurance denial
• Periodic communication with providers.
• Investigates and resolves basic coding and registration claim edits and credits.
• Assist in obtaining insurance authorizations and accurately maintaining the authorization records
• Communicate patient balance and patient-responsibility amounts to clinics and/or patient/families
• Respond to requests for information.
• Work requires ability to analyze problems, develop solutions, and implement new procedures.
• Work requires ability to prioritize large volumes of work.
• Work requires good communication skills.

Shift: 8am-5pm

Quick tip(s):

• Please review the section entitled experience/education and focus on the job requirements.
• Make sure you include the experience listed under the requirements section on your application. 

Why UT Southwestern?

With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued patients and employees. With over 20,000 employees, we are committed to continuing our growth with the best professionals in the healthcare industry. We invite you to be a part of the UT Southwestern team where you’ll discover teamwork, professionalism, and consistent opportunities for growth. 

SECURITY:

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information 

EXPERIENCE / EDUCATION:

REQUIRED: 

• High School diploma or equivalent and one (1) year medical billing or collections experience. 
• Must demonstrate the ability to perform manual charge entry, release clean claim encounters within charge review work queues, investigate and resolve basic coding and registration claim edits and make calls to obtain authorizations.
• Coding certifications (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, CCA) and/or degrees (associate level, bachelor level, master level) preferred and may be considered in lieu of experience.  

JOB DUTIES:

• Performs manual charge entry for all non-EpicCare and non-automated sites of services. 
• This includes E&M visits and procedures across several centralized service lines. 
• This position requires periodic communication with providers.
• Releases ambulatory and inpatient clean charges from charge review work queues.
• Investigates and resolves basic coding and registration claim edits and credits.
• May assist in obtaining insurance authorizations and accurately maintaining the authorization records, communicate patient balance and patient-responsibility amounts to clinics and/or patient/families, responding to requests for information. 
• Attend coding and billing in-services to stay current on changes; attend other meetings and training as assigned.
• Perform monthly charge reconciliation.
• Duties performed may include one or more of the following core functions:  (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records. 
• Performs other duties as assigned. 

KNOWLEDGE, SKILLS & ABILITIES: 

Work requires working knowledge of Epic Resolute, EpicCare, and Epic CPOE Work requires working knowledge of MS Excel. Work requires ability to analyze problems, develop solutions, and implement new procedures. Work requires ability to prioritize large volumes of work. Work requires good communication skills.

WORKING CONDITIONS: 

Work is performed primarily in general office/clinic area.   

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; sex; including sexual harassment; age; disability; genetic information; citizenship status; and protected veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression. 

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