Reimbursement Specialist - Pathology

UT Southwestern Medical Center • Dallas, TX

22h • Remote

About The Position

Works under moderate supervision to provide policy analysis and recommendations to management related to reimbursement projects and functions.

Requirements

• High School Diploma or equivalent
• 4 years of progressively responsible experience in medical insurance, medical billing or medical reimbursement.

Nice To Haves

• (CPC) CERT PROFESSIONAL CODER Upon Hire or
• Advanced Records Technician (ART) Upon Hire or
• (RRA) REGISTERED RECORDS ADMIN Upon Hire

Responsibilities

• Performs policy analysis for managed care issues by reviewing contracts, writing clause revisions, making recommendations for reimbursement policy changes, reviewing reports and financial data, and analyzing fee schedules, encounter forms, diagnosis, and procedure codes; ensures contracts reflect appropriate business decisions.
• Ensures projects related to reimbursement issues are completed on time and changes are implemented appropriately by conducting meetings, organizing activities, reviewing data analyses and reports, and creating reimbursement policies and procedures.
• Documents findings by writing inquiry letters, constructing opinion letters, maintaining contract files, and maintaining files for research documents.
• 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: Mid Level
• Education Level: High school or GED