Employment Type : Full-Time
Job Posting Title: - Hiring Department: - Position Open To: - Weekly Scheduled Hours: - FLSA Status: - Earliest Start Date: - Position Duration: - Location: - Job Description: - Job Details: Schedule to be discussed during interview. Ensures accurate, compliant and timely account of aged insurance claims in order to provide accurate and efficient reimbursement. Process appeals, correct billing discrepancies and ensures correct adjudication of submitted claims. Reviews claim and account data and makes applicable corrections to ensure claims meet all payor specific compliance guidelines and accounts are accurate. Reads and understands payor specific billing requirements as outlined in procedure manuals, payor newsletters and internal communication and incorporates and updates. Liaisons with UHS staff, insurance payors, and patients as needed to resolve billing and reimbursement issues to completion. Processes payments from insurance reimbursements for services provided at UHS. Post payments from Explanation of Benefits received and process insurance correspondence. Correct rejected claims and file claim for reconsideration. Perform appeals processing tasks as required from insurance companies in time efficient manner. Maintains a log of all checks received. Researches unpaid claims; reviews insurance contracts as it relates to claims payments. Returns checks to health insurance companies that were sent in error. Contacts insurance companies to clarify problematic situations. Support coding and billing compliance program. Assist coders with the review of codes and billing for appropriateness and accuracy. Assist with reimbursement analysis to ensure payments are consistent with negotiated contract rates and benefits. Serves as centralized Training Coordinator Map out initial and annual insurance and payment posting training plans for Billing/Insurance Office and Clinical Support/Patient Access Staff Design and develop insurance and payment posting training programs and curriculum Select appropriate training methods or activities (e.g. simulations, mentoring, on-the-job training, ect) Conduct Billing/Insurance Office and Clinical Support/Patient Access Staff insurance and payment posting training needs assessment and identify skills or knowledge gaps that need to be addressed Utilize state of the art training principles and stay up-to-date on new training methods and techniques Design, prepare and order training aids and materials if/as needed Assess instructional effectiveness and determine the impact of training on employee skills and measures and monitors Key Performance Indicators Gather feedback from managers and trainees after each training session Partner with stakeholders and liaise with experts regarding instructional design Maintain updated curriculum database and training records Host train-the-trainer sessions for subject matter experts such as WH and PT Manage and maintain in-house training documents Research and recommend new training methods, such as gamification Serve as back-up Cashier as necessary Participates in other activities as appropriate and assigned Assists with insurance credentialing process for clinical staff. Data enters patient insurance information from various sources including electronic queue. Assists patients with form completion to lift bars. Establishes patient payment plan contracts. Processes service extension applications. Performs Daily Deposit Transactions Performs Inter-Departmental Transactions as necessary. Process patient billing and Bursar transactions. Assist with revenue cycle management of non-UHS entities Understands and complies with all applicable UHS and UT policies and procedures as well as all applicable state and federal laws Exhibits exceptional customer service behavior and excellent public relations skills in all aspects of work. Demonstrates regular and punctual attendance pattern. High school diploma and a minimum of three years working in ambulatory family practice care setting performing a combination of third-party insurance billing, insurance benefits, obtaining pre-authorization and/or referrals, payment posting in an electronic health record system, medical claim appeals, claim status, claim rejections and accounts receivables. Previous work experience as a training coordinator or similar training role in a healthcare setting. Relevant education and experience may be substituted as appropriate. A minimum of Associates degree in Healthcare Administration or equivalent. More than three years working in ambulatory family practice care setting performing a combination of third-party insurance billing, insurance benefits, obtaining pre-authorization and/or referrals, payment posting in an electronic health record system, medical claim appeals, claim status, claim rejections and accounts receivables. Three or more years working as a certified professional performing task such as medical coding, billing, and/or payment posting. Three or more years working as a training coordinator, training facilitator, or trainer with a proven track record of developing and conducting successful training programs. $42,500 per year May work around standard office conditions May work around biohazards Repetitive use of a keyboard at a workstation Use of manual dexterity Exposure to chemicals and commercial items typically founds in offices, medical clinics, and building repairs/maintenance Resume/CV Important for applicants who are NOT current university employees or contingent workers: You will be prompted to submit your resume the first time you apply, then you will be provided an option to upload a new Resume for subsequent applications. Any additional Required Materials (letter of interest, references, etc.) will be uploaded in the Application Questions section; you will be able to multi-select additional files. Before submitting your online job application, ensure that ALL Required Materials have been uploaded. Once your job application has been submitted, you cannot make changes. Important for Current university employees and contingent workers: As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled in to your application. The application is one page and you will be prompted to upload your resume. In addition, you must respond to the application questions presented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above. - Employment Eligibility: - Retirement Plan Eligibility: - Background Checks: A criminal history background check will be required for finalist(s) under consideration for this position. - Equal Opportunity Employer: The University of Texas at Austin, as an equal opportunity/affirmative action employer , complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions. - Pay Transparency: The University of Texas at Austin will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. - Employment Eligibility Verification: If hired, you will be required to complete the federal Employment Eligibility Verification I-9 form. You will be required to present acceptable and original documents to prove your identity and authorization to work in the United States. Documents need to be presented no later than the third day of employment. Failure to do so will result in loss of employment at the university. - E-Verify: The University of Texas at Austin use E-Verify to check the work authorization of all new hires effective May 2015. The university’s company ID number for purposes of E-Verify is 854197.
Required Materials