Billing Specialist - Laboratory

JOB SUMMARY:

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.

This position supports the division of Clinical Lab Services. The duties for this position will include but not be limited to the following:

• Maintain a monthly average of 75 encounters per day
• Lab and pathology experience preferred
• Excellent time management skills
• Ability to partner with team or work alone
• Bi-weekly reconciliation
• Ensure the department adheres to the six-day work queue metric

Work From Home (WFH): This position will WFH but the applicant must live within the State of Texas. Additional details shall be discussed as part of the interview process

Shift: Flex shift, 8-hour days Monday-Friday.

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 required-experience section on your application.

VETERANS:

We are honored to be a veteran friendly work environment that is home to hundreds of veterans. We value your integrity, dedication, and the commitment you have made to our country. We are proud to support your next mission. Ranked by Forbes as one of the Top 10 National Employers, we invite you to be a part of the UT Southwestern Medical Center team where you will discover teamwork, professionalism, and consistent opportunities for growth. Shift: 8-hour days The preferred applicant must live in Texas, DFW area is preferred.

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-Epic Care 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.
• 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. 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, Epic Care, 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.

SECURITY:

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

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.