Billing Specialist II – Women’s Care Clinic – Full-Time, Days

Texas Health Resources•Denton, TX

6d•Onsite

About The Position

Join an innovative team working towards making healthcare more accessible, integrated, and reliable at the Women’s Care Clinic. This role involves delivering care to patients utilizing the Billing Specialist II process, focusing on charge review, manual charge entry, work queue management, and resolving billing-related edits and rejections. You will collaborate with various teams, including Coding & Reimbursement, Enterprise Customer Service, Revenue Integrity, and Patient Access/Registration, to ensure accurate and timely billing, identify and communicate errors, and support process improvements. The department is characterized by strong teamwork, collaboration, and a fast-paced environment with high-volume calls, emphasizing compassion and empathy towards patients and colleagues.

Requirements

High School Diploma or Equivalent (required)
2 Years Billing Experience in a Health Care Environment (required)
Working knowledge of professional billing revenue cycle workflows within Epic (charge review, PCR, etc).
Ability to interpret account activity, work queues, explanation of benefits, and billing edits.
Strong analytical skills with the ability to identify patterns, trends, and root causes of billing issues.
Clear written and verbal communication skills to effectively partner with clinic staff and revenue cycle teams.
High attention to detail and strong time management skills to balance multiple work queues.

Responsibilities

Actively manage the Clinic Registration Charge Review Work queue to ensure charges are complete, accurate, and released timely.
Identify any charges that require manual charge entry and enter the charges into Epic via the manual charge entry process.
Identify missing, duplicate, or incorrect charges and initiate corrections using Epic reporting activity.
Monitor charge lag trends and escalate recurring issues to clinic leadership and revenue integrity partners.
Work the Pending Clinic Response (PCR) Work queue to resolve charge-related edits, rejections, and payer-specific requirements.
Collaborate with Coding & Reimbursement teams when documentation clarification, coding review, or audits are required, ensuring issues are routed appropriately rather than reworked independently.
Track outcomes of PCR activity to identify upstream process improvement opportunities.
Manage the Clinic Follow-Up Work queue generated from centralized Enterprise Customer Service inquiries, complaints, or requests requiring clinic-level billing or charge review action.
Research account activity, charges, and documentation to resolve billing questions efficiently and return clear, accurate responses to Enterprise Customer Service within defined SLAs.
Support resolution of patient-impacting issues without direct patient contact, reinforcing the centralized service model.
Identify common billing, charge capture, and registration-related errors (e.g., missing orders, incorrect provider, coverage issues impacting billing).
Communicate trends and recurring errors to clinic staff, practice managers, and operational partners with clear, actionable guidance to prevent future issues.
Partner with clinic leadership to support education, tip sheets, or workflow reinforcement aimed at reducing denials and rework.
Work collaboratively with Enterprise Customer Service teams for any patient facing financial experience questions / concerns.
Work collaboratively with Coding, Reimbursement & Documentation (CRD) for any coding related questions / concerns.
Work collaboratively with Revenue Integrity.
Work collaboratively with Patient Access / Registration.
Escalate systemic issues through established governance or committee structures as appropriate.