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SalaryJOB SUMMARY:
UT Southwestern Medical Center has an opening within the Revenue Cycle Department team for a Technical Denials Management Specialist I. You will be 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.
This is a work from home (WFH) opportunity, however, the successful applicant must live within the state of Texas and also be available to come to the office for equipment pickup exchange, office meetings, and training, etc. Additional details in regard to WFH shall be discussed as part of the interview process.
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 patients and employees. With over 20,000 employees, we are committed to continuing our growth with the best professionals in the healthcare industry. We invite you to be a part of the UT Southwestern team where you’ll discover teamwork, professionalism, and consistent opportunities for growth.
EXPERIENCE | EDUCATION:REQUIRED:
High School Diploma
And one (1) year administrative or customer service experience required
One (1) year medical claims recovery and/or collections experience preferred.
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.
WORKING CONDITIONS
Work is performed primarily in office area.
SECURITY:
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information
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.
