Patient Financial Services Rep I - Clinic, Adult Urology

UT Southwestern Medical Center • Dallas, TX

5d • Hybrid

About The Position

Position will provide support to patients with financial resources and assistance.

Requirements

• High School Diploma
• 2 years hospital or medical billing experience.

Nice To Haves

• Bachelor's Degree

Responsibilities

• Ensure all claims are billed and received by the payers for proper adjudication. This includes timely processing of allocated volume of accounts, based on established production guidelines and time parameters provided for workflow.
• Responsible for outbound calls and/or status inquiries via payers website validating receipt of medical claims and adjudication status within established timeframes. Display competent ability to access, navigate, and manage account information through phone calls and payer websites.
• Work any edits and denials in allocated workflow to achieve proper adjudication to payment. This includes but is not limited to verify insurance is correct, update insurance demographics, rebill claims not received, document the status of work performed, follow-up on outstanding adjudication items according to departmental guidelines, and is also responsible for billing secondary/tertiary claims along with providing supporting documentation to payers for additional payment.
• Documents all work and calls performed, in accordance to policy. This includes complete contact information, good grammar, and expected outcomes.
• Obtain primary and/or secondary EOB and claims to bill next responsible payer, along with utilizing various internal resources to obtain medical records to respond to requests from payers upon request.
• Duties 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.
• Performs other duties as assigned.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100%25 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED