Remote Denials Specialist II: Appeals & Recovery

UT Southwestern Medical Center; Dallas (TX); Hybrid; USD 55,000 - 75,000; Full time

Job summary

UT Southwestern Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department to review, research, and resolve claim denials and appeals for various insurers, while identifying payment trends to maximize collections.

This WFH role requires residence in the Greater DFW area with occasional in-office visit for equipment pickup, meetings, and training. Prior experience in medical claims recovery and knowledge of CMS 1500, ICD-9, CPT coding are highly valued.

Qualifications

• High School Diploma or equivalent required.
• 2 years' experience in medical claims recovery and/or collections required.
• Associate's degree preferred.
• Knowledge of CMS 1500, ICD-9 and CPT coding preferred.
• Experience in Medical Billing, AR, and/or Collections in healthcare/insurance environment.
• Ability to communicate with patients, insurers, and clinical staff.

Responsibilities

• Analyze payer denials by denial groupers and submit appeals.
• Contact patients and/or third-party payers to resolve outstanding insurance balances.
• Make adjustments as required by plan reimbursement.
• Serve as liaison between clinical departments and MSRDP management.
• Complete special projects as assigned.
• Perform other duties as needed.

Skills

Self-starter

Team player

Effective communication

Attention to detail

Medical billing knowledge

Accounts Receivable

Fast-paced environment

Education

High School Diploma

Associate's degree

Job description

UT Southwestern Medical Center is seeking a Technical Denials Management Specialist II in the Revenue Cycle Department to review, research, and resolve claim denials and appeals for various insurers, while identifying payment trends to maximize collections.

This WFH role requires residence in the Greater DFW area with occasional in-office visit for equipment pickup, meetings, and training. Prior experience in medical claims recovery and knowledge of CMS 1500, ICD-9, CPT coding are highly valued.