Technical Denials Management Specialist I
The University of Texas Southwestern Medical Center, Dallas, Texas, United States, 75215
Technical Denials Management Specialist I (2600003U)
Work From Home (WFH): This is a WFH position. Applicants must live in TX. Preference is given to those applicants that live in the Greater DFW area.
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 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 employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY Responsible for contacting third party payers via website and/or phone regarding reimbursement of accounts exceeding thirty (30) days or more with no response; incumbent will ensure insurance demographics are accurate, if applicable, update billing information, re-bill claim and document the status of work performed; position is also responsible for billing secondary/tertiary claims along with providing supporting documentation to payers for additional payment.
BENEFITS
PPO medical plan, available day one at no cost for full-time employee-only coverage
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Experience 1 year administrative or customer service experience.
Preferred
Experience 1-year medical claims recovery and/or collections experience
JOB DUTIES
Responsible for outbound calls and/or status inquiries via payer's 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 AND EEO STATEMENT Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO Statement 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.
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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 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 employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY Responsible for contacting third party payers via website and/or phone regarding reimbursement of accounts exceeding thirty (30) days or more with no response; incumbent will ensure insurance demographics are accurate, if applicable, update billing information, re-bill claim and document the status of work performed; position is also responsible for billing secondary/tertiary claims along with providing supporting documentation to payers for additional payment.
BENEFITS
PPO medical plan, available day one at no cost for full-time employee-only coverage
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Experience 1 year administrative or customer service experience.
Preferred
Experience 1-year medical claims recovery and/or collections experience
JOB DUTIES
Responsible for outbound calls and/or status inquiries via payer's 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 AND EEO STATEMENT Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO Statement 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.
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