Billing Specialist II jobs in United States
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UT Southwestern Medical Center · 7 hours ago

Billing Specialist II

UT Southwestern Medical Center is a world-renowned medical and research center located in Dallas-Fort Worth, Texas. The Billing Specialist II role involves performing intermediate level billing activities, ensuring accurate coding and abstracting of accounts in compliance with relevant guidelines, while maintaining productivity and quality standards.

Health CareHospitalMedical
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H1B Sponsor Likelynote

Responsibilities

Resolve front-end charge review edits
Maintain productivity and quality standards
Analyzes, investigates and resolves coding edits for E&M services, diagnostic studies, and minor surgical procedures. This includes CPT, diagnosis, modifier, bundling, duplicate charge, and custom edit resolution. Requires knowledge of the carrier's (Federal/State/Private) regulations and guidelines, internal revenue cycle coding processes and be familiar with the billing practices of the specialty service line. This position requires a high degree of organization and accuracy and requires clear communication with providers on a regular basis to insure visits are well documented and meet all billing requirements
Performs limited abstracting on E&M services, diagnostic studies, and moderate to minor surgical procedures. Requires the ability to read the progress note and or procedure results and confirm or change the CPT code(s), diagnosis code(s) and modifiers (if applicable). Requires knowledge of the carrier coverage policies and be familiar with the billing practices of the specialty service line. Must be familiar with the Medicare and Medicaid teaching physician documentation billing rules
Performs monthly charge reconciliation
Investigates and resolves coding and registration Epic Resolute Claim edits. Requires strong knowledge of Epic's carrier registration filing order rules and billing rules
Performs manual charge entry for all non-EpicCare and non-automated sites of services. This includes E&M visits and procedures across several centralized service lines. Depending on the clinical department they may be required to review and release charges from a computer assisted coding environment
May assist in obtaining insurance authorizations and accurately maintaining the authorization records, communicate patient balance and patient-responsibility amounts to clinics and/or patient/families, responding to requests for information. Attend coding and billing in-services to stay current on changes; attend other meetings and training as assigned
Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records
Performs other duties as assigned

Qualification

Medical billing experienceCoding certificationsICD-10-CM knowledgeEpic system knowledgeEffective communicationTeamworkContinuous learning

Required

High School Diploma or equivalent
2 years medical billing or collections experience

Preferred

Coding certifications (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, CCA) and/or degrees (associate level, bachelor level, master level) are preferred and may be used in lieu of experience
Coding certifications (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, CCA) Upon Hire

Benefits

PPO medical plan, available day one at no cost for full-time employee-only coverage
100% coverage for preventive healthcare-no copay
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

Company

UT Southwestern Medical Center

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UT Southwestern Medical Center offers clinical care, education, and scientific research.

H1B Sponsorship

UT Southwestern Medical Center has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (358)
2024 (238)
2023 (266)
2022 (274)
2021 (213)
2020 (179)

Funding

Current Stage
Late Stage
Total Funding
$22M
Key Investors
The Dallas FoundationPatient-Centered Outcomes Research Institute
2023-06-20Grant
2023-04-20Grant· $4M
2023-03-28Grant· $18M

Leadership Team

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Chris Rubio
Interim Chief Executive Officer, Clements University Hospital
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Dennis Pfeifer
AVP & CTO University Health System
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Company data provided by crunchbase