Reimbursement Supervisor- Ophthalmology

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Job Number: 328220
Category: Insurance/Billing
Location: 5323 Harry Hines Blvd, Dallas, TX
Department: 240900 - Ophthalmology
Full/Part Time/PRN: Day Job
Regular/Temporary: Regular
Schedule: Full-time



Security


This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information


Salary


Salary Negotiable


Experience and Education


High school diploma or GED, seven (7) years experience in physician practice plan, healthcare, or medical insurance environment to include two (2) years supervisory experience, and previous exposure to hospital or physician billing are required.
Certified as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Advanced Records Technician (ART), or Registered Records Administrator (RRA) preferred.

Job Duties


Provides assistance and training to staff on coding,_compliance and billing issues.
Acquires and maintains thorough knowledge of federal and state legislative and administrative action affecting physician reimbursement; disseminates acquired knowledge to faculty and staff.
Serves as a backup to Revenue Cycle Manager on Edit Admin. Committee to approve and advise edit requests for university.
Maintains coding edits for division to ensure accuracy and compliance.
Supervises daily operation of departmental billing activities.
Analyzes all departmental monthly denial reports; reviews for proper coding, unbundling, concurrent care, modifiers and compliance to ensure maximum reimbursement.
Performs other duties as assigned.


**Other Duties: Performs other duties as assigned.

UTSouthwestern 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 UTSouthwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.

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