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Billing Specialist III Job in Dallas, Texas

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Job Title: Billing Specialist III

Employer:UT Southwestern Medical Center
Location:Dallas, TX
Date Posted:11/15/2018

Billing Specialist III

UT Southwestern Medical Center, Dallas, TX

Full-Time

 

Take advantage of this opportunity to join UT Southwestern Medical Center – ranked one of the “Best Places to Work” by the Dallas Business Journal. Due to our continued growth, UT Southwestern Medical Center is seeking a Billing Specialist III.

 

Job Duties:

·         Analyzes, investigates and resolves coding edits for complex diagnostic studies, endoscopic, interventional and/or surgical procedures. This includes CPT, diagnosis, modifier, bundling, duplicate charge, and custom edit resolution. Requires strong knowledge of the carrier's (federal/state/private) regulations and guidelines, internal revenue cycle coding processes and specialty specific service line billing practices. This position requires a high degree of organization, accuracy and clear communication with providers on a regular basis to ensure services are well documented and meet all billing requirements.

·         Performs abstracting on E&M services, complex diagnostic studies and/or endoscopic, interventional or surgical procedures. Requires the ability to read the progress note and or procedure/surgical results and confirm or change the CPT code(s), diagnosis code(s) and modifiers (if applicable). Requires strong knowledge of the carrier coverage policies and documentation requirements for specialty specific service lines. Must know the Medicare and Medicaid teaching physician documentation billing rules.

·         Serves as a resource to the FERC team leads, compliance auditors, medical collectors and billing specialists I & II. Requires a billing and coding knowledge level that provides guidance on and resolution to resolve claim denials, rejections and backend coding edits.

·         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. Depending on the clinical department they may be required to review and release charges from a computer assisted coding environment.

·         Investigates and resolves coding and registration Epic resolute claim edits. Requires strong knowledge of Epic's carrier registration filing order rules and billing rules.

·         Periodically assists 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.

·         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 related duties as required.

 

Requirements:

·         High School diploma or equivalent, associate degree preferred and six (6) years medical billing or collections experience. Two (2) years must include billing and or denials management for complex E&M services, diagnostic studies, and/or minor surgical procedures.

·         Experience involving complex diagnostic studies, endoscopic, interventional and/or surgical procedures preferred.

·         Requires working knowledge of Epic Resolute, EpicCare, and Epic CPOE.

·         Certified Professional Coder (CPC), Advanced Records Technician (ART), or Registered Records Administrator (RRA) preferred.

 

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

 

To learn more and to apply, please visit: https://jobs.utsouthwestern.edu/billingsp


About UT Southwestern Medical Center:

UT Southwestern Medical Center ranks among the top academic medical centers with more active Nobel Prize winners than any other medical school in the world. As a premier educational, clinical and research institution, UT Southwestern is home to more than 2,000 distinguished scientists, physicians and allied health professionals. Our University Hospital has achieved Magnet® recognition by the American Nurses Credentialing Center (ANCC), joining only 7% of hospitals in the United States.

 

UT Southwestern is an Affirmative Action/Equal Opportunity Employer. Women, minorities, veterans, and individuals with disabilities are encouraged to apply.


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