(Fully Remote) Coding and Billing Specialist, Revenue Cycle, UT Health Austin, Dell Medical School

Job Posting Title:

(Fully Remote) Coding and Billing Specialist, Revenue Cycle, UT Health Austin, Dell Medical School

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Hiring Department:

Dell Medical School

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Position Open To:

All Applicants

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Weekly Scheduled Hours:

40

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FLSA Status:

Non-Exempt

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Earliest Start Date:

Immediately

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Position Duration:

Expected to Continue

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Location:

UT MAIN CAMPUS

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Job Details:

General Notes

This position is fully remote and out of state candidates will be considered. Must have 3 years of coding and billing experience. Previous experience in Athena a plus.

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). Serves as the liaison between clinical departments, Patient Financial Services, payers, and patients. Maintains accurate information regarding patient accounts receivable. The Billing Specialist works closely with the Revenue Cycle team and internal departments to resolve issues with insurance companies regarding incorrect registration information, claims processing, contract reimbursement amounts and coding issues. Discusses and collects patient balances and assisting clinical staff and patients with billing questions.

Responsibilities

• 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 Manager.

• 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 researching reasons for denied claims and working appeals as necessary to resolve outstanding balances. Identifying and documenting new payer denial trends, and notifying supervisor for escalated follow up.

• Assisting with managing patient and payer credit balances with established policy and procedures. Assist with the implementation of special billing projects, as needed. Other duties and special projects as assigned related to billing and collections.

Required Qualifications

High school diploma, GED, or equivalent is required. At minimum of 3 years of medical billing experience in Orthopedics, radiology or multi-specialty required. Previous experience working with an electronic health record (EHR) software. 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. Knowledge of insurance agency operating procedures and practices. 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. Capable of following established departmental procedures. Capable of using experience and judgement to plan and accomplish goals. 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 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. To ensure alignment, we follow these fundamental values: https://dellmed.utexas.edu/culture.

Relevant education and experience may be substituted as appropriate.

Preferred Qualifications

Previous coding experience in a large multi-specialty academic practice. Certified Professional Coder (CPC) certification from the American Academy of Professional C