What are the responsibilities and job description for the Technical Denials Management Specialist I position at UT Southwestern Medical Center?
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
Responsible for contacting third party payers via website and/or phone regarding reimbursement of accounts exceeding thirty (30) days or more with no response; incumbent will ensure insurance demographics are accurate, if applicable, update billing information, re-bill claim and document the status of work performed; position is also responsible for billing secondary/tertiary claims along with providing supporting documentation to payers for additional payment.
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!
EXPERIENCE AND EDUCATION
Required
- Education
High School Diploma
- Experience
1 year administrative or customer service experience. or
Preferred
- Experience
1 year medical claims recovery and/or collections experience
JOB DUTIES
- Responsible for outbound calls and/or status inquiries via payer's website validating receipt of medical claims.
- Verifies insurance.
- Update insurance demographics and rebill claims not received.
- Documents all work and calls performed.
- Obtain primary and/or secondary eob and CMS 1500 to bill next responsible payer.
- Utilize various internal resources to obtain medical records to respond to requests from the third party payers for additional information.
- 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.
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.
Salary : $1,000 - $1,000,000
