University of Texas at Austin Looking for Coding and Billing Specialist at Austin, TX  Full Time

Job Posting Title:

Coding and Billing Specialist

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Hiring Department:

UHS and CMHC

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Position Open To:

All Applicants

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Weekly Scheduled Hours:

40

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FLSA Status:

Non-Exempt

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Earliest Start Date:

Aug 14, 2023

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Position Duration:

Expected to Continue

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Location:

UT MAIN CAMPUS

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Job Details:

Purpose

Serve as the department’s coding, billing, payment posting, and insurance specialist with a vast knowledge and application of all aspects of insurance claims filing for services provided at University Health services (UHS). Provides other complex administrative duties and support relative to the filing of third-party insurance claims, cashiering, payment processing, referrals, coding and billing compliance program and training.

Our mission at Healthyhorns is to enhance the health and well-being of students’ bodies, minds and lives in support of their academic and personal goals.

Healthyhorns is committed to providing high-quality care to patients of all ages, races, ethnicities, physical abilities or attributes, religions, sexual orientations, or gender identities/expression.

To learn more about Healthyhorns, please visit .

UT Austin offers a competitive benefits package that includes but not limited to:

• 100% employer-paid basic medical coverage

• Retirement contributions

• Paid vacation and sick time

• Paid holidays

Please visit our Human Resources (HR) website: to learn more about the total benefits offered.

The Division of Student Affairs supports all members of the university community through our mission of developing programs and services that allow everyone to thrive and contribute to the dedicated excellence at the core of our institutional mission. Wemodel diversity and inclusion byproviding open, welcoming and inclusive environments in which to work, live and learn.

The Billing and Insurance team is seeking an energetic teammember who works well independently and primarily in a remote setting based on current business need. This office is currently working 90-95% remote with some office presence as needed or assigned. Applicants must reside in the greater Austin area.

Responsibilities

Ensures accurate, compliant, and timely submission of insurance claims to provide accurate and efficient reimbursement.

• Reviews patient encounters for proper use of procedure and diagnostic codes/modifiers.

• Reviews all Evaluation & Management encounters for correct E/M level selection by the provider and makes edits if a higher code is supported or will query the provider if a lower E/M level might be supported or if any documentation is ambiguous.

• Utilizes CPT, ICD-10 and HCPCS manuals, and insurance policies to ensure accurate coding as been used to optimize reimbursement.

• Reads and understands payor specific billing requirements as outlined in procedure manuals, payor newsletters, and internal communication and incorporates and updates.

• Reviews claim and account data and makes applicable corrections to ensure claims meet all payor specific compliance guidelines and accounts are accurate.

• 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 as necessary.

• Post payments from Explanation of Benefits received and process insurance correspondence.

• Correct rejected claims and file claims for reconsideration.

• Perform appeals processing tasks as required from insurance companies in a time efficient manner.

• Research unpaid claims and reviews insurance contracts as it relates to claims payments.

• Returns checks to health insurance companies and other UT systems clinics that were sent in error.

• Contacts insurance companies to clarify problematic situations.

• Lockbox retrieval and processing, as needed.

• On-site payment, insurance, and correspondence preparation.

Support coding and billing compliance program.

• Reviews codes and billing for appropriateness and accuracy.

• Makes recommendations for code additions, deletions, or modifications based on guideline changes or denial trends seen.

• Participates in billing and coding audit process.

• Participates with process improvement and optimal reimbursement initiatives.

• Performs reimbursement analysis to ensure payments are consistent with negotiated contract rates and benefit.

Trains staff as delegated by Manager to include departmental staff and UHS organization as needed.

• Provide feedback, create, and/or implement job specific training documents for your role.

• Provides training to new employees as delegated.

• Provides coding, billing, and insurance training to clinicians and administrative staff.

Participates in other activities as appropriate and assigned.

• Data entry of patient insurance information from various sources including electronic queue.

• Assists patients with form completion to lift registration holds.

• Establishes patient payment plan contracts.

• Processes service extension fee applications.

• Performs Inter-Departmental Transactions as necessary.

• Processes “Do Not File to Insurance” requests from patients.

• On-site payment, insurance, and correspondence preparation.

• Provides data entry and claim processing for additional seasonal healthcare events on campus e.g. flu clinics, International student Immunization clinics.

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.

• Uses the Healthyhorns Customer Service Standards as the benchmark for all interactions with patients and other customers and models the Healthyhorns Customer Service ALERT Behaviors at all times.

• Treats others with dignity and respect, regardless of individual differences.

• Knows and understands the Healthyhorns Patient Rights and Responsibilities statement.

• Respects patient privacy and maintains confidentiality, disclosing protected health information only as it relates to the plan of care for that patient.

• Familiar with and adheres to all applicable Policies and Procedures.

• Supports and participates in quality improvement efforts, including adjusting performance and practice in accordance with quality improvement initiatives and findings.

• Knows and abides by the Healthyhorns Principles of Professional Conduct and the UT Honor Code.

Demonstrates regular and punctual attendance pattern.

Required Qualifications

• High school diploma or GED

• Minimum of three (3) years working in ambulatory family practice care setting performing medical coding, billing, and payment posting with electronic health records and electronic medical claims submissions.

• Must possess coding certification from AAPC or AHIMA (Apprentice status will only be accepted if issued by AAPC).

Relevant education and experience may be substituted as appropriate.

Preferred Qualifications

• Experience working in a medical business office for a university student health center.

• Three (3) or more years working as a Certified Professional Coder performing task such as medical coding, billing, and payment posting.

Salary Range

$48,000 + depending on qualificaitons

Working Conditions

• 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

Required Materials

• Resume/CV

• 3 work references with their contact information; at least one reference should be from a supervisor

• Letter of interest

Importantfor 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 thatALLRequired 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 questionspresented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.

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Employment Eligibility:

Regular staff who have been employed in their current position for the last six continuous months are eligible for openings being recruited for through University-Wide or Open Recruiting, to include both promotional opportunities and lateral transfers. Staff who are promotion/transfer eligible may apply for positions without supervisor approval.

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Retirement Plan Eligibility:

The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length.

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Background Checks:

A criminal history background check will be required for finalist(s) under consideration for this position.

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Equal Opportunity Employer:

The University of Texas at Austin, as an ,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.

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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.

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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 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.

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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. For more information about E-Verify, please see the following:

• [PDF]
• [PDF]
• [PDF]
• [PDF]

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Compliance:

Employees may be required to report violations of law under Title IX and the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act). If this position is identified a Campus Security Authority (Clery Act), you will be notified and provided resources for reporting. Responsible employees under Title IX are defined and outlined in .

The Clery Act requires all prospective employees be notified of the availability of the Annual Security and Fire Safety report. You may or obtain a copy at University Compliance Services, 1616 Guadalupe Street, UTA 2.206, Austin, Texas 78701.