Technical Denials Management Specialist I - Revenue Cycle

JOB SUMMARY:

UT Southwestern Medical Center has an opening within the Revenue Cycle Department team for a Technical Denials Management Specialist I. The ideal applicants' day will include but not be limited to the following:

• Attach Medical Records to submit to insurance carriers.
• Fax Medical Records/Documentation
• Contact insurance carriers to check on the status of claims, appeals, mailing, registration, and insurance verification
• Other duties as assigned

This is a work from home (WFH) opportunity, however, the successful applicant must live within fifty (50) miles of the Greater DFW area and also be available to come to the office for equipment pickup exchange, office meetings, and training, etc. Additional details in regard to WFH shall be discussed as part of the interview process.

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

Why UT Southwestern?

With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern Medical Center is committed to excellence, innovation, teamwork, and compassion. We invest in you with opportunities for career growth and development that align with your future goals and help to provide security for you and your family. Our highly competitive benefits package offers healthcare, PTO and paid holidays, merit increases and so much more that are all available on the day you start work.

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.

EXPERIENCE/EDUCATION:

REQUIRED:

• High School Diploma
• One (1) year administrative or customer service experience required
• One (1) year medical claims recovery and/or collections experience preferred

JOB DUTIES:

• Responsible for outbound calls and/or status inquiries via payers' website validating receipt of medical claims.
  
• Verifies insurance.
  
• Update insurance demographics and rebill claims not received.
  
• Documents all work and calls performed.
  
• Obtain primary and/or secondary eob and CMS 1500 to bill next responsible payer.
  
• Utilize various internal resources to obtain medical records to respond to requests from the third party payers for additional information.
• Performs other duties as assigned.

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.