Technical Denials Management Specialist I

UT Southwestern Medical Center • Dallas, TX

5d • Remote

About The Position

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.
Work From Home (WFH): This is a WFH position. Applicants must live in TX. Preference is given to those applicants that live in the Greater DFW area.
Shift: Flex shift, 8-hour days, Monday through Friday

Requirements

• High School Diploma
• 1 year administrative or customer service experience.

Nice To Haves

• 1-year medical claims recovery and/or collections experience

Responsibilities

• 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.

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