What are the responsibilities and job description for the Health Business Specialist position at UNT Health Science Center?
Title: Health Business Specialist
Employee Classification: Health Business Specialist
Campus: University of North Texas - Health Science Center
Division: HSC-Health Systems
SubDivision-Department: HSC-Health Systems & Clinical Aff
Department: HSC-HSC Health Administration-335001
Job Location: Fort Worth
Salary: $ 20 / hour
FTE: .48
Retirement Eligibility: Not Retirement Eligible
About Us - Values Overview
Welcome to the University of North Texas System. The UNT System includes the University of North Texas in Denton and Frisco, the University of North Texas at Dallas and UNT Dallas College of Law, and the University of North Texas Health Science Center at Fort Worth. We are the only university system based exclusively in the robust Dallas-Fort Worth region. We are growing with the North Texas region, employing more than 14,000 employees, educating a record 49,000 students across our system, and awarding nearly 12,000 degrees each year.
We are one team comprised of individuals who are committed to excellence, curiosity and innovation. We are transforming lives and creating economic opportunity through education. We champion a people-first values-based culture where We Care about each other and those we serve. We believe that we are Better Together because we foster an inclusive environment of respect, belonging, and access for all. We demonstrate Courageous Integrity through setting exceptional standards and acting in the best interest of our communities. We are encouraged to Be Curious about opportunities for learning, creating, discovering, and innovating, and are encouraged to learn from failure. Show Your Fire by joining our team and exhibiting your passion and pride in your work as part of our UNT System team.
Learn more about the UNT System and how we live our values at www.UNTSystem.edu.
Department Summary
HSC Health is the academic clinical practice for the Health Science Center. Focused on improving health outcomes to build a healthier community, HSC Health primary and multispecialty care clinics are located on the HSC campus. Our care teams extend to local hospitals, surgery centers, long term and continuing care centers, and mobile and in-home care. HSC Health’s interprofessional teams work collaboratively to achieve an optimized treatment plan tailored to the individual patient. Physicians, nurse practitioners, physician assistants, physical therapists, pharmacists, social workers, psychologists, specialized technicians, and nurses work together while intentionally integrating health care students, residents, and fellows to deliver care to our community.
Position Overview
This position is highly focused on the resolution of insurance processing errors and/or denials. Responsible for optimizing physician reimbursement. Provide financial, administrative, and clerical support related to claims. Research claims with no payment or response from payor. Analyze denials to identify trends and determine most expedient methods of collecting reimbursement for services provided. Resolve claims issues and other discrepancies according to established policies and procedures in an efficient, timely and accurate manner.
Minimum Qualifications
Monday - Friday
Driving University Vehicle
No
Security Sensitive
This is a Security Sensitive Position.
Special Instructions
Applicants must submit a minimum of two professional references as part of their application. If needed, additional references can be added after the application has been submitted.
Benefits
For information regarding our Benefits, click here.
EEO Statement
The University of North Texas System is firmly committed to equal opportunity and does not permit -- and takes actions to prevent -- discrimination, harassment (including sexual violence, domestic violence, dating violence and stalking) and retaliation on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status in its application, employment practices and facilities; nor permits race, color, national origin, religion, age, disability, veteran status, or sex discrimination and harassment in its admissions processes, and educational programs and activities, facilities and employment practices. The University of North Texas System promptly investigates complaints of discrimination, harassment and related retaliation and takes remedial action when appropriate. The University of North Texas System also takes actions to prevent retaliation against individuals who oppose any form of harassment or discriminatory practice, file a charge or report, or testify, assist or participate in an investigative proceeding or hearing.
Employee Classification: Health Business Specialist
Campus: University of North Texas - Health Science Center
Division: HSC-Health Systems
SubDivision-Department: HSC-Health Systems & Clinical Aff
Department: HSC-HSC Health Administration-335001
Job Location: Fort Worth
Salary: $ 20 / hour
FTE: .48
Retirement Eligibility: Not Retirement Eligible
About Us - Values Overview
Welcome to the University of North Texas System. The UNT System includes the University of North Texas in Denton and Frisco, the University of North Texas at Dallas and UNT Dallas College of Law, and the University of North Texas Health Science Center at Fort Worth. We are the only university system based exclusively in the robust Dallas-Fort Worth region. We are growing with the North Texas region, employing more than 14,000 employees, educating a record 49,000 students across our system, and awarding nearly 12,000 degrees each year.
We are one team comprised of individuals who are committed to excellence, curiosity and innovation. We are transforming lives and creating economic opportunity through education. We champion a people-first values-based culture where We Care about each other and those we serve. We believe that we are Better Together because we foster an inclusive environment of respect, belonging, and access for all. We demonstrate Courageous Integrity through setting exceptional standards and acting in the best interest of our communities. We are encouraged to Be Curious about opportunities for learning, creating, discovering, and innovating, and are encouraged to learn from failure. Show Your Fire by joining our team and exhibiting your passion and pride in your work as part of our UNT System team.
Learn more about the UNT System and how we live our values at www.UNTSystem.edu.
Department Summary
HSC Health is the academic clinical practice for the Health Science Center. Focused on improving health outcomes to build a healthier community, HSC Health primary and multispecialty care clinics are located on the HSC campus. Our care teams extend to local hospitals, surgery centers, long term and continuing care centers, and mobile and in-home care. HSC Health’s interprofessional teams work collaboratively to achieve an optimized treatment plan tailored to the individual patient. Physicians, nurse practitioners, physician assistants, physical therapists, pharmacists, social workers, psychologists, specialized technicians, and nurses work together while intentionally integrating health care students, residents, and fellows to deliver care to our community.
Position Overview
This position is highly focused on the resolution of insurance processing errors and/or denials. Responsible for optimizing physician reimbursement. Provide financial, administrative, and clerical support related to claims. Research claims with no payment or response from payor. Analyze denials to identify trends and determine most expedient methods of collecting reimbursement for services provided. Resolve claims issues and other discrepancies according to established policies and procedures in an efficient, timely and accurate manner.
Minimum Qualifications
- Associate's degree in a related field, or any equivalent combination of education or experience.
- Knowledge of Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.
- Skill in completing assignments accurately and with attention to detail.
- Ability to analyze complex information and develop plans to address identified issues.
- Experience and knowledge of medical billing rules and processes. Bachelor's degree in a related field.
- N/A
- Track denial trends and determine most expedient methods of collecting reimbursement for services provided
- Follow up on all assigned insurance claims to ensure appropriate reimbursement.
- Process assigned AR work lists in a timely manner.
- Review patient accounts to determine appropriate follow up action.
- Recommend accounts to be written off on Adjustment Request.
- Report and address filing rule changes; provide guidance and training on policies and procedures to necessary parties.
- Check Practice Management system for missing payments.
- Properly add notes to patient accounts.
- Take appropriate actions for maximum reimbursement (adjustments, letters, call insurance, etc.).
- Respond to insurance company claim inquiries.
Monday - Friday
Driving University Vehicle
No
Security Sensitive
This is a Security Sensitive Position.
Special Instructions
Applicants must submit a minimum of two professional references as part of their application. If needed, additional references can be added after the application has been submitted.
Benefits
For information regarding our Benefits, click here.
EEO Statement
The University of North Texas System is firmly committed to equal opportunity and does not permit -- and takes actions to prevent -- discrimination, harassment (including sexual violence, domestic violence, dating violence and stalking) and retaliation on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status in its application, employment practices and facilities; nor permits race, color, national origin, religion, age, disability, veteran status, or sex discrimination and harassment in its admissions processes, and educational programs and activities, facilities and employment practices. The University of North Texas System promptly investigates complaints of discrimination, harassment and related retaliation and takes remedial action when appropriate. The University of North Texas System also takes actions to prevent retaliation against individuals who oppose any form of harassment or discriminatory practice, file a charge or report, or testify, assist or participate in an investigative proceeding or hearing.
Salary : $20