Eligibility Denial Specialist II na UT Southwestern Medical Center

%3Cb%3EWHY UT SOUTHWESTERN?%3C/b%3E%3Cbr%3E%0AWith 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 %3Ca href=%22https://www.utsouthwestern.edu/newsroom/articles/year-2022/july-us-news-best-hospital.html%22 target=%22_blank%22%3EU.S. News %26 World Report%3C/a%3E, 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%27ll discover a culture of teamwork, professionalism, and a rewarding career!%0A%0A%3Cbr%3E%3Cbr%3E%3Cb%3EJOB SUMMARY%3C/b%3E%3Cbr%3E%0AThis job is responsible for researching any denied claim based on eligibility to ensure correct payers are billed timely on submitted insurance claims. %3Cbr%3E%3Cbr%3E%3Cp%3E%3Cb%3EBENEFITS%3C/b%3E%3Cbr%3E%0AUT 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:%3C/p%3E%0A%3Cul%3E%0A %3Cli%3EPPO medical plan, available day one at no cost for full-time employee-only coverage%3C/li%3E%0A %3Cli%3E100% coverage for preventive healthcare-no copay%3C/li%3E%0A %3Cli%3EPaid Time Off, available day one%3C/li%3E%0A %3Cli%3ERetirement Programs through the Teacher Retirement System of Texas (TRS)%3C/li%3E%0A %3Cli%3EPaid Parental Leave Benefit%3C/li%3E%0A %3Cli%3EWellness programs%3C/li%3E%0A %3Cli%3ETuition Reimbursement%3C/li%3E%0A %3Cli%3EPublic Service Loan Forgiveness (PSLF) Qualified Employer%3C/li%3E%0A %3Cli%3E%3Ca href=%22http://jobs.utsouthwestern.edu/benefits/#top%22 target=%22_blank%22%3ELearn more about these and other UTSW employee benefits!%3C/a%3E%0A %3C/li%3E%0A%3C/ul%3E%3Cbr%3E%3Cbr%3E%3Cb%3E%3Cb%3EEXPERIENCE AND EDUCATION%3C/b%3E%3C/b%3E%3Cbr%3E%0A%3Cbr%3E%3Cb%3ERequired%3C/b%3E%3Cul%3E%3Cb%3E%3Cli%3EEducation%3C/b%3E%3Cbr%3EHigh School Diploma or equivalent. %3Cbr%3E%3C/ul%3E%3Cul%3E%3Cb%3E%3Cli%3EExperience%3C/b%3E%3Cbr%3E4 years medical billing, claims processing, and/or insurance eligibility experience. %3Cbr%3E%0A May consider medical billing certifications or graduate degrees in lieu of experience. %3Cbr%3E%3C/ul%3E%3Cbr%3E%3Cb%3E%3Cb%3EJOB DUTIES%3C/b%3E%3C/b%3E%3Cul%3E %3Cli%3EReview, research and resolve denied insurance claims based on eligibility through the billing system, including Medicaid, Medicare, Worker%27s Compensation, Mental Health payers and third party payers. %3C/li%3E%0A%3Cli%3EInterpret Explanation of Benefits from insurance companies on denied claims. %3C/li%3E%0A%3Cli%3EContact payers via website, phone and/or correspondence regarding claims denied for eligibility. %3C/li%3E%0A%3Cli%3EContact patients and assist with Coordination of Benefits or other coverage denials. %3C/li%3E%0A%3Cli%3EWorks in all professional billing service areas. %3C/li%3E%0A%3Cli%3EUpdates registration and demographic information in all hospital billing service areas. %3C/li%3E%0A%3Cli%3EResolves eligibility denials in all clearinghouse and payer rejection WQ%27s. %3C/li%3E%0A%3Cli%3EReview and resolve any Visit Filing order changes and work advanced Visit Filing Order WQ%27s. %3C/li%3E%0A%3Cli%3EFunction as a liaison between clinical departments and third party payers. %3C/li%3E%0A%3Cli%3ECompletes special projects as requested. %3C/li%3E%0A%3Cli%3EIdentifies problems and inconsistencies by using management reports; summarizes findings and makes recommendations to resolve billing issues in an effort to maximize collections. %3C/li%3E%0A%3Cli%3EDuties 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. %3C/li%3E%0A%3Cli%3EPerforms other duties as assigned. %3C/li%3E %0A%3Cbr%3E%3C/ul%3E%3Cb%3E%3Cb%3ESECURITY AND EEO STATEMENT%3C/b%3E%3C/b%3E%3Cbr%3E%3Cbr%3E%3Cb%3ESecurity%3C/b%3E%3Cbr%3EThis position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.%3Cbr%3E%3Cbr%3E%3Cb%3EEEO%3C/b%3E%3Cbr%3E%0AUT 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.%3C/br%3E Candidatar-se agora