University of Texas Health Science Center at San Antonio

University of Texas Health Science Center at San Antonio.

  • San Antonio, TX


  • Long-term.

  • Full-time.

Job Summary:

Under basic guidance, accountable for carrying out any mix of regular determining, publishing and confirming tasks to get main insurance coverage information for usage in preparing declarations to clients’ insurance coverage providers. Might prepare notifications to clients of quantity anticipated (or gotten) from insurance coverage and quantity anticipated from client.

Job Duties:

  • Reviews declares that have actually been adjudicated by Medicare, Medicaid, and Commercial providers for proper billing.
  • Addresses rejected claims, declares pended for medical need, and declares pending for supporting documents and/or medical records by dealing with numerous groups such as center personnel, registration personnel, and coding personnel to finish appeals.
  • Extracts details concerning client treatment from medical records and works carefully with coding personnel to make up personalized appeal letters.
  • Identifies payor particular patterns or patterns relating to rejections and reports to management for interaction to Medical Departments and Administrators.
  • Makes the essential suggestions relating to billing and modify production to decrease rejections.
  • Remains present in all payor particular standards.
  • Utilizes different collection procedures such as appeals or collection notifications by mail, electronic correspondence, and telephone interaction with payor agents.
  • Performs all other responsibilities as designated.

Education:

  • High school diploma or GED is needed.

Experience:

  • Three (3) years of associated experience to consist of medical setting is needed. Medical/Dental coding and billing experience is chosen.

Additional Information

University of Texas Health Science Center at San Antonio.

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