Title: Health Business Specialist

Employee Classification: Health Business Specialist

Campus: University of North Texas - Health Science Center

Division: HSC-Health Systems

SubDivision-Department: HSC-Health Systems & Clinical Aff

Department: HSC-HSC Health Administration-335001

Job Location: Fort Worth

Salary: $ 20 / hour

FTE: .48

Retirement Eligibility: Not Retirement Eligible

About Us - Values Overview:

Department Summary

HSC Health is the academic clinical practice for the Health Science Center. Focused on improving health outcomes to build a healthier community, HSC Health primary and multispecialty care clinics are located on the HSC campus. Our care teams extend to local hospitals, surgery centers, long term and continuing care centers, and mobile and in-home care. HSC Health’s interprofessional teams work collaboratively to achieve an optimized treatment plan tailored to the individual patient. Physicians, nurse practitioners, physician assistants, physical therapists, pharmacists, social workers, psychologists, specialized technicians, and nurses work together while intentionally integrating health care students, residents, and fellows to deliver care to our community.

Position Overview

This position is highly focused on the resolution of insurance processing errors and/or denials. Responsible for optimizing physician reimbursement. Provide financial, administrative, and clerical support related to claims. Research claims with no payment or response from payor. Analyze denials to identify trends and determine most expedient methods of collecting reimbursement for services provided. Resolve claims issues and other discrepancies according to established policies and procedures in an efficient, timely and accurate manner.

Minimum Qualifications

• Associate's degree in a related field, or any equivalent combination of education or experience.

Knowledge, Skills and Abilities

• Knowledge of Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.
• Skill in completing assignments accurately and with attention to detail.
• Ability to analyze complex information and develop plans to address identified issues.

Preferred Qualifications

• Experience and knowledge of medical billing rules and processes. Bachelor's degree in a related field.

Required License/Registration/Certifications

• N/A

Job Duties:

• Track denial trends and determine most expedient methods of collecting reimbursement for services provided 
• Follow up on all assigned insurance claims to ensure appropriate reimbursement. 
• Process assigned AR work lists in a timely manner. 
• Review patient accounts to determine appropriate follow up action. 
• Recommend accounts to be written off on Adjustment Request. 
• Report and address filing rule changes; provide guidance and training on policies and procedures to necessary parties.
• Check Practice Management system for missing payments.
• Properly add notes to patient accounts. 
• Take appropriate actions for maximum reimbursement (adjustments, letters, call insurance, etc.). 
• Respond to insurance company claim inquiries. 

Work Schedule:

Monday - Friday

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, sexual orientation, gender identity, 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, facilities and employment practices. The University of North Texas System promptly investigates complaints of discrimination, harassment and related retaliation and takes remedial action when appropriate. The University of North Texas System 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 an investigative proceeding or hearing.