INSURANCE BILL SPEC
Categories: Insurance / Billing
Department: Patient Financial Services
Full/Part Time/PRN: Full-Time
Experience and Education
Resolve system edits and claims errors in a timely manner.
Provides subject matter expertise to HIM, Collections, and Operation areas.
Communicates educational information as needed upon 3rd party payor changes which impact billing and/or reimbursement.
Informs Manager of all edits pertaining to hard coded revenue areas.
Keeps upper management informed of system delays or issues that would delay or prevent daily billing activity.
Performs reconciliation of claims dropping from Siemens into claims editor.
Participates in educating departmental staff of billing changes pertinent to the success of the department.
Utilize system tools and department resources to achieve production and quality targets for resolution of patient accounts.
Investigates and responds to questions or requests for additional information in a timely and professional manner to ensure proper, timely, and accurate payment of patient accounts.
Attends in-services, classes and meetings related to all operations to the PFS department. Understands reimbursement of all 3rd party payors.
Performs other duties as required.
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; gender, including sexual harassment; age; disability; citizenship; and veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.