Billing Specialist III

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 employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!

JOB SUMMARY

Works under moderate supervision to perform advanced level billing responsibilities.

UT Southwestern Medical Center has an opening within the Revenue Cycle Department team for a Billing Specialist III.  Works under moderate supervision to perform advanced level billing responsibilities. The successful candidate’s experience should include but is not limited to the following skills :

• Capable of reviewing Explanation of Benefits (EOB) from payors to determine how the claims were managed.
• Contacting insurance carriers to check on the status of claims, appeals, and insurance verification.
• Review, research and resolve claim denials and appeals for various insurance companies while identifying payment trends in an effort to maximize collections.
• Knowledgeable with payors including Managed Care, Commercial, Medicare, and Medicaid
• Preparing / Submitting appeals related to denied services.

This is a work from home (WFH) opportunity. The successful applicant must live within the Greater DFW area and be available to come to the office for equipment pickup, office meetings, and training. Additional details regarding WFH will be discussed as part of the interview process.

Shift : 8-hour days, Monday through Friday

BENEFITS

UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include :

EXPERIENCE AND EDUCATION

Required

High School Diploma or equivalent.

3 years Medical billing or collections experience

Must demonstrate the ability to work complex E&M services, complex diagnostic studies, endoscopic, interventional and / or surgical procedures

Must demonstrate the ability to make calls to obtain authorizations

Preferred

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.

(CPC) CERT PROFESSIONAL CODER Upon Hire or

(CPMA) Cert Prof Medical Auditor Upon Hire or

(CMC) CERT MEDICAL CODER Upon Hire or

(ART) ASSOC RECORDS ADMIN Upon Hire or

(RRA) REGISTERED RECORDS ADMIN Upon Hire or

(RHIA) REGD HEALTH INFO ADMINIST Upon Hire or

(RHIT) REGD HEALTH INFO TECHNOLO Upon Hire or

(CCS) CERT CODING SPECIALIST Upon Hire or

(CCA) Cert Coding Associate Upon Hire

JOB DUTIES

coding processes and specialty specific service line billing practices. This position requires a high degree of organization and accuracy, and clear communication with providers on a regular basis to insure services are well documented and meet all billing requirements. This position could possibly require resolving clinical and / or technical denials as well.

SECURITY AND EEO STATEMENT

Security

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

EEO

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.