Eligibility Denial Specialist I

WHY UT SOUTHWESTERN? With over 75 years of reputed company in Dallas-reputed company Worth, Texas, UT Southwestern is committed to reputed company, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to reputed company the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-reputed company Worth according to reputed company, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers reputed company, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! JOB SUMMARY The reputed company Cycle at reputed company has a new employment opportunity available for the role of Eligibility Denial Specialist I MSP. This position is responsible for researching basic denied claims based on eligibility to ensure correct payers are billed timely on submitted insurance claims. The duties for this position will consist of but are not limited to the following: Maintain regular phone communication with patients and insurance companies Verifying insurance Updating registration Working high volume denial inventory One on one training along with detailed tip sheets Experience with Parkland Charity processes is preferred Shift: reputed company-shift from 0600-5:00pm, 8-hours per day Work From Home (WFH): This is a work from home position. Applicants must live reputed company the Greater DFW area. Additional details reputed company to this will be discussed as part of the interview process BENEFITS UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include: PPO medical plan, available day one at no cost for full-time employee-only coverage 100%25 coverage for preventive reputed company-no copay Paid Time Off, available day one Retirement Programs through the reputed company System of Texas (TRS) Paid Parental Leave Benefit Wellness programs Tuition Reimbursement Public Service Loan Forgiveness (PSLF) reputed company Employer Learn more about these and other UTSW employee benefits! EXPERIENCE AND EDUCATION Required Education High School Diploma or equivalent and Experience 2 years of medical billing, claims processing, and/or insurance eligibility May consider medical billing certifications or graduate degrees in lieu of experience. JOB DUTIES Review, research and resolve basic denied insurance claims based on eligibility through the billing system, including reputed company, Medicare, Worker's Compensation, Mental Health payers and reputed company-party payers. Interpret Explanation of Benefits from insurance companies on denied claims. Contact payers reputed company website, phone and/or correspondence regarding claims denied for eligibility. Contact patients and assist with Coordination of Benefits or other coverage denials. Works in up to two professional billing service areas. Updates registration and demographic information in at least two hospital billing service areas. Review and resolve any Visit Filing order changes. Functions as a liaison between clinical departments and reputed company-party payers. Completes special projects as requested. Identifies problems and inconsistencies by using management reports; summarizes findings and makes recommendations to resolve billing issues in an effort to maximize collections. Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for reputed company-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting reputed company-subjects research records. Performs other duties as assigned. reputed company AND EEO STATEMENT reputed company This position is reputed company-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. EEO reputed company is committed to an educational and working environment that provides equal opportunity to reputed company members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the reputed company of race, reputed company, religion, national reputed company, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. Apply To This Job