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
Works under moderate supervision to perform entry level billing responsibilities.

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• 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
• Learn more about these and other UTSW employee benefits!

Work Shift: Monday-Friday, 8am-5pm. This position is hybrid. Candidate must live in the Dallas/Fort Worth metroplex.

Job responsibilities include:

• Utilizing Epic Resolute to review and clear charges for the Dermatology Clinic. Requires the ability to read the progress notes and or procedure results and confirm with Providers to make the necessary changes to the CPT code(s), diagnosis code(s) and modifiers (if applicable). Must be familiar with the Medicare and Medicaid teaching physician documentation billing rules. Communicates billing issues with Supervisor. This position requires a high degree of organization and accuracy, clear communication with providers on a regular basis to ensure visits are well documented and meet all billing requirements. 
• Clears and work denials from assigned Dermatology denial WQ’s by utilizing knowledge of Medicare and billing/coding guidelines.
• Investigates and resolves coding and registration claim edits for Derm clinic.
• Research and resolves billing discrepancies from patients, insurance carriers, and clinic staff.
• Versatile and willing to Crosstrain in multiple billing operations.
• Performs other duties as assigned.

Knowledge, Skills & Abilities:

Work requires knowledge of Epic Resolute, MS Excel, Word, and PowerPoint. The ability to analyze problems and develop solutions. Flexible and able to navigate multiple billing systems, prioritize large volumes of work and good communication skills.

EXPERIENCE AND EDUCATION
Required

• Education
  High School Diploma or equivalent

• Experience
  1 year medical billing or collections experience and
  Must demonstrate the ability to perform manual charge entry, release clean claim encounters within charge review work queues, investigate and resolve basic coding and registration claim edits and make calls to obtain authorizations.

Preferred

• Experience
  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 considered in lieu of experience.

• Licenses and Certifications
  (CPC) CERT PROFESSIONAL CODER Upon Hire and
  (CPMA) Cert Prof Medical Auditor Upon Hire and
  (CMC) CERT MEDICAL CODER Upon Hire and
  (ART) ASSOC RECORDS ADMIN Upon Hire and
  (RRA) REGISTERED RECORDS ADMIN Upon Hire and
  (RHIA) REGD HEALTH INFO ADMINIST Upon Hire and
  REGD HEALTH INFO TECHNOLO Upon Hire and
  (CCS) CERT CODING SPECIALIST Upon Hire and
  (CCA) Cert Coding Associate Upon Hire

JOB DUTIES

• 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. This position requires periodic communication with providers.
• Releases ambulatory and inpatient clean charges from charge review work queues.
• Investigates and resolves basic coding and registration claim edits and credits.
• Periodically assists 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.
• Perform monthly charge reconciliation.
• 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.

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. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position.

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.