The University of Texas at Austin Job Posting

 
This posting is Closed

Coding and Billing Specialist - Clinical Billing Specialist, Workers Compensation

Hiring department Medical School
Monthly salary $3,750+ depending on qualifications
Hours per week 40.00 Standard from 800AM to 500PM
Posting number 17-09-07-01-1352
Job Status Closed
FLSA status Non-exempt
Earliest Start Date Immediately
Position Duration Funding expected to continue
Position open to all applicants
Location Austin (main campus)
Number of vacancies 1
General Notes

The Dell Medical School is especially interested in qualified candidates who can contribute to diversity and excellence within the learning health system. At the Dell Medical School we strive to create a vital, inclusive health ecosystem. To ensure alignment, we follow these fundamental values: https://dellmed.utexas.edu/culture.

Required Application Materials

  • A Resume is required in order to apply
  • A Letter of Interest is required in order to apply.
  • A List of 3 References is required in order to apply.

Additional Information

Purpose

Facilitates the revenue cycle process following patient accounts through the entire billing process after charge entry to completion of payment process working within Dell Medical School's electronic health record (EHR) focusing on worker's compensation claims.

Essential Functions

Maintains accurate information regarding patient accounts receivable. Works closely with the Revenue Cycle team and internal departments to resolve issues with insurance companies and employers regarding incorrect registration information, claims processing, contract reimbursement amounts and coding issues. Discusses and collects patient balances and assists Integrated Practice Unit (IPU) staff and patients with billing related questions. Responsible for the accurate and timely resolution of professional billing claim and clearinghouse edits as well as payer rejections. Meets or exceeds established performance targets established by the Clinical Revenue Cycle Director. Performs root cause analysis and identifies edit trends timely to minimize lag days and maximize opportunities to improve the process and update the Electronic Health Record logic as needed. Demonstrates good judgement in escalating identified root causes and edit trends to leadership to ensure timely resolution and communication to stakeholders. Communicates effectively with the Billing and Compliance Coders to handle the accurate and timely resolution of coding-related claim edits and appeals. Provides customer service to patients by educating them on insurance policies, billing procedures and coding issues. Assist in Month End procedures and reporting. Maintains working day-to-day knowledge of the electronic health record (EHR). Thoroughly research reasons for denied claims and working appeals as necessary to resolve outstanding balances. Identifies and documents new payer denial trends, and notifies supervisor for escalated follow up. Assists with managing patient and payer credit balances with established policy and procedures. Assists with the implementation of special billing projects, as needed. Other duties and special projects as assigned related to billing and collections.

Marginal/Incidental functions

Other related functions as assigned.

Required qualifications

High school diploma and 3 years of medical billing experience. Electronic health record (EHR) software experience. Thorough knowledge of the entire claims billing process. Capable of communicating effectively with patients and the health care team, including the ability to explain billing procedures and insurance benefits to patients. Knowledge of and/or experience with billing and collecting from Medicare, Medicaid, commercial, and managed care insurance plans. Ability to communicate effectively with payers, providers, and the clinical operations teams. Professional verbal and written communication. Must respect the confidential nature of medical information. Proficient use of computers and a working knowledge of Microsoft Office. Able to read and interpret documents such as charts, safety rules, operating and maintenance instructions, and procedure manuals. Ability to function in a fast paced environment. Ability to be flexible with assignments and multi-task as needed. Ability to demonstrate problem solving skills in dealing with billing and collections related issues. Equivalent combination of relevant education and experience may be substituted as appropriate.

Preferred Qualifications

Bachelor's Degree. 3 or more years of medical billing experience in occupational health/worker's compensation billing. Previous experience working in a worker's compensation outpatient clinic setting. Certified Professional Coding (CPC) or Certified Professional Billing (CPB) certification from the American Academy of Professional Coders (AAPC).

Working conditions

May work around standard office conditions Repetitive use of a keyboard at a workstation Use of manual dexterity

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