Coding and Billing Specialist, Revenue Cycle, UT Health Austin

Job Posting Title:

Coding and Billing Specialist, Revenue Cycle, UT Health Austin

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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, which will require reliable internet access and a suitable workspace free from distractions. s. 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 …