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Company

The University of Texas at Austin · 11 hours ago

Coding and Billing Specialist, Revenue Cycle, UT Health Austin

Austin, TX

Full-time

Remote

Mid Level

3+ years exp

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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.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medical billing experienceElectronic Health Record (EHR)Claims billing processCPC certificationAthenaMicrosoft Office

Required

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.