Job Posting Title:
Surgery Benefit Coordinator, Revenue Cycle, UT Health Austin
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Hiring Department:
Dell Medical School
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Position Open To:
All Applicants
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Weekly Scheduled Hours:
40
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FLSA Status:
Non-Exempt
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Earliest Start Date:
Immediately
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Position Duration:
Expected to Continue
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Location:
UT MAIN CAMPUS
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Job Details:
General Notes
A hybrid work schedule (working onsite and remotely) is available for this position after onsite training and successful performance review have been completed. Must have 3 years of coding and billing experience. Previous experience in Athena a plus.
Purpose
This hybrid position facilitates the day-to-day coordination between facilities and clinical care units to obtain good faith estimate for all services, communicates the surgical estimate to patients, and collects payment. Serves as the liaison between clinical care units, the revenue cycle team, payers, and patients. Assists Clinical Care Units staff and patients with surgical estimate-related questions. This is a pro-active role where you must manage the process to ensure patients receive accurate surgical estimates.
Responsibilities
Interfaces with appropriate ASC or hospital staff to ensure accurate professional, facility and ancillary estimates. Responsible for the accurate and timely creation of good faith estimates for ambulatory surgical center (ASC) and hospital-based surgeries. Utilizes department-specific tools to create good faith estimates and uploads all documentation to the electronic health record.
Accurately calculates patient financial responsibility for services and works with all involved departments to enable timely collections. Follows federal, state and local regulatory requirements related to patient finances. Adheres to established timelines per organizational policy.
Meets or exceeds established performance targets established by the Clinical Revenue Cycle Director.
Performs root cause analyses and identifies trends timely to minimize lag days and maximize opportunities to improve the process and update the Electronic Health Record logic as needed.
Assists the revenue cycle manager a quarterly report of incidents to identify opportunities for improvement. Reports are given to department directors to improve quality of care and billing efficiency.
Demonstrates good judgement in escalating identified root causes and trends to leadership to ensure timely resolution and communication to stakeholders. Assists the revenue cycle manager and compliance officer in the dispute resolution process.
Communicates effectively with the Access Center’s health access partners regarding patient scheduling and related issues.
Communicates effectively with the ASC Business and Clinical, Surgery Scheduling and Coding team on insurance and estimate related issues. Provides customer service to patients by educating them on insurance coverages, authorized services and estimates.
Provides response and assistance to patients via electronic multi-media requests (email, chat, web, etc.).
Maintains working day-to-day knowledge of the EHR and works on special projects related to insurance and authorizations.
Performs other duties as assigned.
Required Qualifications
High school diploma, GED, or equivalent is required. Bilingual in Spanish. A minimum of 3 years of relevant experience required. Previous experience working with an electronic health record (EHR) software and general billing functions. Knowledge of general ambulatory surgical billing procedures. Capable of communicating effectively with patients and the health care team, including the ability to explain billing procedures, insurance benefits to patients and collect high dollar estimates. Knowledge of and/or experience with insurance and authorization for Medicare, Medicaid, commercial, and managed care insurance plans. Knowledge of insurance agency operating procedures and practices. Ability to communicate effectively with payers, providers, and the clinical care units. Professional verbal and written communication. Must respect the confidential nature of medical information. Capable of following established departmental procedures. Capable of using experience and judgement to plan and accomplish goals. Proficient use of computers and a working knowledge of Microsoft Office. Able to read and interpret documents such as charts, safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to function in a fast paced environment. Ability to be flexible with assignments and multi-task as needed. Ability to demonstrate problem solving skills in dealing with insurance and patient estimate issues.
Relevant education and experience may be substituted as appropriate.
Preferred Qualifications
More than the required years of experience in healthcare surgery center billing, deep knowledge of surgery center billing functions, and Athena experience.Knowledge of operating an electronic telephone software system.Bachelor’s degree and/or certification in a relevant field.Experience with Microsoft Teams, REDCap or Smartsheet.
Salary Range
$45,000+ depending on qualifications
Working Conditions
May work around standard office conditions.
Repetitive use of manual dexterity on a keyboard at a workstation
Required Materials
Resume/CV
3 work references with their contact information; at least one reference should be from a supervisor
Letter of interest
Important for applicants who are NOT current university employees or contingent workers: You will be prompted to submit your resume the first time you apply, then you will be provided an option to upload a new Resume for subsequent applications. Any additional Required Materials (letter of interest, references, etc.) will be uploaded in the Application Questions section; you will be able to multi-select additional files. Before submitting your online job application, ensure that ALL Required Materials have been uploaded. Once your job application has been submitted, you cannot make changes.
Important for Current university employees and contingent workers: As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled in to your application. The application is one page and you will be prompted to upload your resume. In addition, you must respond to the application questions presented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.
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Employment Eligibility:
Regular staff who have been employed in their current position for the last six continuous months are eligible for openings being recruited for through University-Wide or Open Recruiting, to include both promotional opportunities and lateral transfers. Staff who are promotion/transfer eligible may apply for positions without supervisor approval.
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Retirement Plan Eligibility:
The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length.
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Background Checks:
A criminal history background check will be required for finalist(s) under consideration for this position.
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Equal Opportunity Employer:
The University of Texas at Austin, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions.
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Pay Transparency:
The University of Texas at Austin will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
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Employment Eligibility Verification:
If hired, you will be required to complete the federal Employment Eligibility Verification I-9 form. You will be required to present acceptable and original documents to prove your identity and authorization to work in the United States. Documents need to be presented no later than the third day of employment. Failure to do so will result in loss of employment at the university.
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E-Verify:
The University of Texas at Austin use E-Verify to check the work authorization of all new hires effective May 2015. The university’s company ID number for purposes of E-Verify is 854197. For more information about E-Verify, please see the following:
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Compliance:
Employees may be required to report violations of law under Title IX and the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act). If this position is identified a Campus Security Authority (Clery Act), you will be notified and provided resources for reporting. Responsible employees under Title IX are defined and outlined in HOP-3031.
The Clery Act requires all prospective employees be notified of the availability of the Annual Security and Fire Safety report. You may access the most recent report here or obtain a copy at University Compliance Services, 1616 Guadalupe Street, UTA 2.206, Austin, Texas 78701.
