Medical Office Billing Clerk-Intermediate

UT Health San Antonio; San Antonio (TX); On-site; USD 50,000 - 75,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision care

Disability insurance

FSAs

Retirement plan

Paid time off

Job summary

UT Health San Antonio is seeking a skilled insurance billing professional to assemble primary insurance data for patient statements, review adjudicated claims, and work on appeals with multidisciplinary teams. The role involves preparing notices of expected amounts from carriers and patients.

The candidate will interact with clinic staff, registration, and coding teams to address denials, pended claims, and medical necessity issues, ensuring payor guidelines are followed and communications are

Qualifications

• Detail oriented with the ability to organize, prioritize and coordinate work within schedule constraints and handle emergent requirements in a timely manner.
• Ability to monitor important and complex projects concurrently.
• Knowledge of Microsoft Word, Excel, PowerPoint, and Lotus Notes/other email software.
• Ability to effectively communicate orally and in writing, to provide excellent customer service, to include writing and preparing memorandums, letters, and other official correspondence.

Responsibilities

• Reviews claims adjudicated by Medicare, Medicaid, and Commercial carriers for billing accuracy.
• Addresses denied/pended claims and works with clinic/registration/coding staff to complete appeals.
• Extracts treatment information from records and assists in composing appeal letters.
• Identifies payor patterns in denials and reports to management for communications to medical departments.
• Makes recommendations to reduce denials and stay current with payor guidelines.
• Utilizes various collection processes including appeals, notices by mail, electronic correspondence, and calls with payor representatives.
• Performs other duties as assigned.

Skills

Detail oriented

Communication skills

Customer service

Project coordination

Microsoft Word

Excel

PowerPoint

Lotus Notes

Tools

Microsoft Word

Excel

PowerPoint

Lotus Notes

Job description

Job Description

Under general supervision, responsible for performing any combination of routine calculating, posting and verifying duties to obtain primary insurance data for use in preparing statements to patients' insurance carriers. May prepare notices to patients of amount expected (or received) from insurance and amount expected from patient.

Responsibilities

• Reviews claims that have been adjudicated by Medicare, Medicaid, and Commercial carriers for appropriate billing.
• Addresses denied claims, claims pended for medical necessity, and claims pending for supporting documentation and/or medical records by working with various teams such as clinic staff, registration staff, and coding staff to complete appeals.
• Extracts information regarding patient treatment from medical records and works closely with coding staff to compose individualized appeal letters.
• Identifies payor specific patterns or trends regarding denials and reports to management for communication to Medical Departments and Administrators.
• Makes the necessary recommendations regarding billing and edit creation to reduce denials.
• Remains current in all payor specific guidelines.
• Utilizes various collection processes such as appeals or collection notices by mail, electronic correspondence, and telephone communication with payor representatives.
• Performs all other duties as assigned.

Qualifications

• Detail oriented with the ability to organize, prioritize and coordinate work within schedule constraints and handle emergent requirements in a timely manner.
• Ability to monitor important and complex projects concurrently.
• Knowledge of Microsoft Word, Excel, PowerPoint, and Lotus Notes/other email software.
• Ability to effectively communicate orally and in writing, to provide excellent customer service, to include writing and preparing memorandums, letters, and other official correspondence.

Required Skills

• Three (3) years of related experience to include clinical setting is required. Medical/Dental coding experience is preferred.

This position may require the ability to maintain the security and integrity of UT San Antonio and its infrastructure per Texas EO-GA-48.

About Us

The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites the power of higher education, biomedical discovery and healthcare within one visionary institution. As the third-largest research university in Texas and a Carnegie R1-designated institution, UT San Antonio is a model of access and excellence — advancing knowledge, social mobility and public health across South Texas and beyond. UT San Antonio serves approximately 42,000 students in 320 academic programs spanning science, engineering, medicine, health, liberal arts, AI, cybersecurity, business, education and more. With 17,000 faculty and staff, UT San Antonio has been recognized by Forbes as one of America’s Best Employers for Company Culture .

Benefits Overview

UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.

• Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.
• Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.
• Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.
• Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.
• FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.
• Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.
• Time Off - A generous leave program offers multiple paid leave options:
  • Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
  • Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
  • Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
  • Holidays: 12 set paid holidays each year.
• Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.

EEO Statement

UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.

Job Info

• Job Identification 8131
• Job Category Finance
• Posting Date 10/01/2026, 08:59 PM
• Apply Before 10/31/2026, 08:59 PM
• Job Schedule Full time
• Organization M3113 - UTHP ADM Coding Support, M3100 - UTHP UT Health Physicians, M1000 - Dean Medical School, UT Health Science Center, UT Health Science Center
• Department M3113 - UTHP ADM Coding Support