Location: Austin,TX, USA
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:
Nov 22, 2024
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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
The Revenue Cycle team at UT Health Austin is seeking a Coding and Billing Specialist. This position is fully remote, which will require reliable internet access and a suitable workspace free from distractions. Must have 3 years of coding and billing experience. Previous experience in Athena a plus.
Purpose
The Coding and Billing Specialist 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). This position serves as the liaison between clinical departments, Patient Financial Services, payers, and patients and maintains accurate information regarding patient accounts receivable. The Coding and 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. Additionally, this position 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.
* Assists in Month End procedures and reporting. Maintains working day-to-day knowledge of the electronic health record (EHR). Thoroughly researches 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.
* Performs other related duties as assigned.
Required Qualifications
High school diploma, GED, or equivalent is required. A 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.
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 Coders (AAPC) is preferred. Previous experience with Athena.
Salary Range
$50,000+ depending on qualifications
Working Conditions
* Work hours are variable based on patient care needs
* Standard office environment (remote)
* Repetitive use of a keyboard
Required Materials
* Resume/CV
* 3 work references with their contact information; at least one reference should be from a supervisor
* Letter of interest
Important for applicants who are NOT current university employees or contingent workers: You will be prompted to submit your resume the first time you apply, then you will be provided an option to upload a new Resume for subsequent applications. Any additional Required Materials (letter of interest, references, etc.) will be uploaded in the Application Questions section; you will be able to multi-select additional files. Before submitting your online job application, ensure that ALL Required Materials have been uploaded. Once your job application has been submitted, you cannot make changes.
Important for Current university employees and contingent workers: As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled in to your application. The application is one page and you will be prompted to upload your resume. In addition, you must respond to the application questions presented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.
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Employment Eligibility:
Regular staff who have been employed in their current position for the last six continuous months are eligible for openings being recruited for through University-Wide or Open Recruiting, to include both promotional opportunities and lateral transfers. Staff who are promotion/transfer eligible may apply for positions without supervisor approval.
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Retirement Plan Eligibility:
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.
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Background Checks:
A criminal history background check will be required for finalist(s) under consideration for this position.
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Equal Opportunity Employer:
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.
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Pay Transparency:
The University of Texas at Austin will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
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Employment Eligibility Verification:
If hired, you will be required to complete the federal Employment Eligibility Verification I-9 form. You will be required to present acceptable and original documents to prove your identity and authorization to work in the United States. Documents need to be presented no later than the third day of employment. Failure to do so will result in loss of employment at the university.
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E-Verify:
The University of Texas at Austin use E-Verify to check the work authorization of all new hires effective May 2015. The university's company ID number for purposes of E-Verify is 854197. For more information about E-Verify, please see the following:
* E-Verify Poster (English) [PDF]
* E-Verify Poster (Spanish) [PDF]
* Right To Work Poster (English) [PDF]
* Right To Work Poster (Spanish) [PDF]
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Compliance:
Employees may be required to report violations of law under Title IX and the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act). If this position is identified a Campus Security Authority (Clery Act), you will be notified and provided resources for reporting. Responsible employees under Title IX are defined and outlined in HOP-3031.
The Clery Act requires all prospective employees be notified of the availability of the Annual Security and Fire Safety report. You may access the most recent report here or obtain a copy at University Compliance Services, 1616 Guadalupe Street, UTA 2.206, Austin, Texas 78701.