Coding & Insurance Specialist
Coding & Insurance Specialist
- 513507
- Denton, Texas, United States
- Staff
Title: Coding & Insurance Specialist
Employee Classification: Coding & Insurance Specialist
Campus: University of North Texas
Division: UNT-Student Affairs
SubDivision-Department: UNT-Student Health and Wellness
Department: UNT-Health & Wellness-Gen-160700
Job Location: Denton
Salary: $39,600.00 - $49,500.00
FTE: 1.000000
Retirement Eligibility: TRS Eligible
About Us - Values Overview
Department Summary
The University of North Texas (UNT) Student Health and Wellness Center is a full-service medical center offering all UNT students general wellness and specialty medical care. We are staffed with licensed physicians, nurse practitioners, physician assistants, certified lab technologists, psychiatric nurse practitioners, licensed nurses, and medical assistants.
Position Overview
Acts as a Patient Service Liaison and Health Insurance Representative and verifies patient insurance benefits.
Minimum Qualifications
Bachelor's degree or equivalent combination of education and experience.
Knowledge, Skills and Abilities
* Knowledge of ICD-9/10 CM, HCPC, and CPT coding systems and how to apply them accurately to medical records.
* Familiarity with medical documentation standards, coding guidelines, and regulatory requirements for billing.
* Understanding of healthcare billing processes and the importance of accurate coding for compliance and reimbursement.
* Strong attention to detail to ensure accurate coding and to identify clinical activities that need billing information.
* Excellent communication skills to work effectively with providers, address discrepancies, and clarify diagnosis or procedure codes.
* Proficiency in reviewing and validating medical records and claims to ensure compliance with coding and documentation requirements.
* Ability to resolve coding and documentation issues promptly in a clinic environment, ensuring timely billing and compliance.
* Strong problem-solving skills to address and correct coding mismatches or errors in collaboration with providers.
Preferred Qualifications
Bachelor's degree or equivalent combination of education and experience.
Required License/Registration/Certifications
Job Duties
- Abstracts clinical information from a variety of medical records to assign appropriate ICD 9/10 CM, HCPC and/or CPT codes to patient records.
- Reviews claim prior to submission to assure that they are complete, accurate and in compliance with coding and documentation requirements.
- Communicates effectively with providers to improve coding and assure documentation supports the codes assigned.
- Communicates with management personnel about any coding or billing matters that may place the organization or individual provider at risk of noncompliance. If necessary, takes that issue up the management chain to reach a resolution.
- Processes billing record requests and maintains files of supporting documentation for billing.
- Provides timely and accurate filing of all health insurance claims to third party payers, processes payments received from third party payers and reconcile accounts.
- Works claim denials in a timely manner.
- Answers billing and insurance questions for internal and external customers.
- Verifies and updates customer demographic information, insurance information and guarantors.
- Resolves billing account issues; contacts customers and guarantors on a monthly basis regarding delinquent accounts.
- Keeps billing and coding knowledge accurate, complete and current
Physical Requirements
Communicating with others to exchange information.
Environmental Hazards
No adverse environmental conditions expected.
Work Schedule
M-F, 8am-5pm
Driving University Vehicle
No
Security Sensitive
This is a Security Sensitive Position.
Special Instructions
Applicants must submit a minimum of two professional references as part of their application. If needed, additional references can be added after the application has been submitted.
Benefits
For information regarding our Benefits, click here.
EEO Statement
The University of North Texas System is firmly committed to equal opportunity and does not permit –and takes actions to prevent – discrimination, harassment (including sexual violence, domestic violence, dating violence and stalking), and retaliation on the basis of race, color, religion, national origin, sex, age, disability, genetic information, or veteran status in its application, employment practices, and facilities; nor permits race, color, national origin, religion, age, disability, veteran status, or sex discrimination and harassment in its admissions processes, and educational programs and activities. UNT System Administration promptly investigates complaints of discrimination, harassment, and related retaliation and takes remedial action when appropriate. System Administration also takes actions to prevent retaliation against individuals who oppose any form of harassment or discriminatory practice, file a charge or report, or testify, assist, or participate in a related investigation or proceeding.
