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Coding and Billing Specialist - Clinical Billing Specialist more...
Location:Austin, TX
Company:The University of Texas at Austin
First posted:June 12, 2017

Coding and Billing Specialist - Clinical Billing Specialist Hiring department Medical School Monthly salary $3,750+ depending on qualifications Hours per week 40.00 Standard from 800AM to 500PM Posting number 17-06-12-01-1352 Job Status Open 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 2 General Notes

Dell Medical School is building on the core purpose to create a vital, inclusive health ecosystem for the benefit of all. To get there, we follow these fundamental values: (please use the apply button below)

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) and with the contracted billing agency.

Essential Functions

Maintains accurate information regarding patient accounts receivable. Works closely with the Revenue Cycle team, internal departments, and contracted billing agency to resolves issues with insurance companies regarding incorrect registration information, claims processing, contract reimbursement amounts and coding issues. Discusses and collects patient balances and assisting Integrated Practice Unit (IPU) staff and patients with billing 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. Must possess coding certification from AAPC or AHIMA (Apprentice status will only be accepted if issued by AAPC) or obtained a 60 or above on an AAPC or AHIMA Certified Professional Coder exam within the past six months and must obtain full certification within 12 months of hire date. 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. Equivalent combination of relevant education and experience may be substituted as appropriate.

Preferred Qualifications

Previous coding experience in a large multi-specialty academic practice. Ability to write routine reports and correspondence. 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.

Working conditions

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

A criminal history background check will be required for finalist(s) under consideration for this position.

The retirement plan for this position is Teacher Retirement System of Texas ( TRS ), subject to the position being at least 20 hours per week and at least 135 days in length.

The University of Texas at Austin, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions.

If hired, you will be required to complete the federal Employment Eligibility Verification form, I-9. You will be required to present acceptable, original documents to prove your identity and authorization to work in the United States. Information from the documents will be submitted to the federal E-Verify system for verification. Documents must be presented no later than the third day of employment. Failure to do so will result in dismissal.

UT Austin is a Tobacco-free Campus

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