Billing Specialist III

%3Cp%3E%3Cstrong%3EWHY UT SOUTHWESTERN?%3C/strong%3E%3Cbr%3EWith over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the No. 1 hospital in Dallas-Fort Worth according to %3Ci%3EU.S. News %26amp; World Report%3C/i%3E, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you%27ll discover a culture of teamwork, professionalism, and a rewarding career!%26nbsp;%3Cbr%3E%3Cbr%3E%3Cstrong%3EJOB SUMMARY%3C/strong%3E%3C/p%3E%3Cp%3E%3Ci%3EThe Billing Specialist III works under moderate supervision to perform intermediate level billing responsibilities. This position supports the division of Hematology/Oncology. The duties for this position will include but are not limited to the following:%3C/i%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-left:.25in;%22%3E%3Ci%3EMaintain a monthly average of 150 encounters per day.%26nbsp;%3C/i%3E%26nbsp;%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-left:.25in;%22%3E%3Ci%3EExcellent time management skills%3C/i%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-left:.25in;%22%3E%3Ci%3EAbility to partner with a team or work alone.%3C/i%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-left:.25in;%22%3E%3Ci%3ECharge review%3C/i%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-left:.25in;%22%3E%3Ci%3EReconciliation%3C/i%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-left:.25in;%22%3E%3Ci%3EManual charge entry%3C/i%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-left:.25in;%22%3E%3Ci%3EEnsure the department adheres to the six-day work queue metric.%3C/i%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-left:.25in;%22%3E%3Ci%3EWork From Home (WFH): This position will work from home. Applicants must live within the State of Texas. Additional details regarding this shall be discussed as part of the interview process.%3C/i%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-left:.25in;%22%3E%3Ci%3EShift: Flex shift, 8-hour days Monday-Friday%3C/i%3E%26nbsp;%3C/p%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EBENEFITS%3C/strong%3E%3Cbr%3EUT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:%3C/p%3E%3Cul%3E%3Cli%3EPPO medical plan, available day one at no cost for full-time employee-only coverage%3C/li%3E%3Cli%3E100% coverage for preventive healthcare-no copay%3C/li%3E%3Cli%3EPaid Time Off, available day one%3C/li%3E%3Cli%3ERetirement Programs through the Teacher Retirement System of Texas (TRS)%3C/li%3E%3Cli%3EPaid Parental Leave Benefit%3C/li%3E%3Cli%3EWellness programs%3C/li%3E%3Cli%3ETuition Reimbursement%3C/li%3E%3Cli%3EPublic Service Loan Forgiveness (PSLF) Qualified Employer%3C/li%3E%3Cli%3E%3Ca href=%22http://jobs.utsouthwestern.edu/benefits/#top%22 target=%22_blank%22%3ELearn more about these and other UTSW employee benefits!%3C/a%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cbr%3E%3Cstrong%3EEXPERIENCE AND EDUCATION%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3ERequired%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cstrong%3EEducation%3C/strong%3E%3Cbr%3EHigh School Diploma or equivalent.%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3E%3Cstrong%3EExperience%3C/strong%3E%3Cbr%3E3 years medical billing or collections experience%26nbsp;%3Cbr%3EMust demonstrate the ability to work complex E%26amp;M services, complex diagnostic studies, endoscopic, interventional and/or surgical procedures%26nbsp;%3Cbr%3EMust demonstrate the ability to make calls to obtain authorizations%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EPreferred%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cstrong%3EEducation%3C/strong%3E%3Cbr%3ECoding certifications (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, CCA) and/or degrees (associate level, bachelor level, master level) preferred and may be considered in lieu of experience.%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3E%3Cstrong%3ELicenses and Certifications%3C/strong%3E%3Cbr%3E(CPC) CERT PROFESSIONAL CODER Upon Hire or%3Cbr%3E(CPMA) Cert Prof Medical Auditor Upon Hire or%3Cbr%3E(CMC) CERT MEDICAL CODER Upon Hire or%3Cbr%3E(ART) ASSOC RECORDS ADMIN Upon Hire or%3Cbr%3E(RRA) REGISTERED RECORDS ADMIN Upon Hire or%3Cbr%3E(RHIA) REGD HEALTH INFO ADMINIST Upon Hire or%3Cbr%3E(RHIT) REGD HEALTH INFO TECHNOLO Upon Hire or%3Cbr%3E(CCS) CERT CODING SPECIALIST Upon Hire or%3Cbr%3E(CCA) Cert Coding Associate Upon Hire%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EJOB DUTIES%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3EAnalyzes, investigates and resolves coding edits for complex drug billing, complex diagnostic studies, endoscopic, interventional and/or surgical procedures. This includes CPT, diagnosis, modifier, bundling, duplicate charge, and custom edit resolution. Requires strong knowledge of the carrier%27s (Federal/State/Private) regulations and guidelines, internal revenue cycle%3Cbr%3Ecoding processes and specialty specific service line billing practices. This position requires a high degree of organization and accuracy, and clear communication with providers on a regular basis to insure services are well documented and meet all billing requirements. This position could possibly require resolving clinical and/or technical denials as well.%3C/li%3E%3Cli%3EPerforms abstracting on E%26amp;M services, complex diagnostic studies, and/or endoscopic, interventional or surgical procedures. Requires the ability to read the progress note and or procedure/surgical results and confirm or change the CPT code(s), diagnosis code(s) and modifiers (if applicable). Requires strong knowledge of the carrier coverage policies and documentation requirements for specialty specific service lines. Must know the Medicare and Medicaid teaching physician documentation billing rules.%3C/li%3E%3Cli%3EPerform monthly charge reconciliation.%3C/li%3E%3Cli%3EServes as a resource to the FERC Team Leads, Compliance Auditors, Medical Collectors and Billing Specialists I %26amp; II. Requires a billing and coding knowledge level that provides guidance on and resolution to resolve claim denials, rejections and backend coding edits.%3C/li%3E%3Cli%3EPerforms manual charge entry for all non-EpicCare and non-automated sites of services. This includes E%26amp;M visits and procedures across several centralized service lines. Depending on the clinical department they may be required to review and release charges from a computer assisted coding environment.%3C/li%3E%3Cli%3EInvestigates and resolves coding and registration Epic Resolute Claim edits. Requires strong knowledge of Epic%27s carrier registration filing order rules and billing rules.%3C/li%3E%3Cli%3EMay assist in obtaining insurance authorizations and accurately maintaining the authorization records, communicate patient balance and patient-responsibility amounts to clinics and/or patient/families, responding to requests for information. Attend coding and billing in-services to stay current on changes; attend other meetings and training as assigned.%3C/li%3E%3Cli%3EMay lead train, and/or mentor the work of lower-level designated coding employees to ensure quality of work and growth in knowledge and expertise.%3C/li%3E%3Cli%3EMay support multiple specialties in a hybrid role as needed.%3C/li%3E%3Cli%3EDuties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.%3C/li%3E%3Cli%3EPerforms other duties as assigned.%3C/li%3E%3C/ul%3E%3Cp style=%22font-size:9pt;margin-bottom:0pt;margin-top:0pt;%22%3E%3Cspan style=%22font-family:Verdana;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp style=%22font-size:9pt;margin-bottom:0pt;margin-top:0pt;%22%3E%3Cspan style=%22font-family:Verdana;%22%3E%3Cstrong%3EKnowledge, Skills and Abilities%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3EWork requires ability to analyze problems, develop solutions, and implement new procedures.%3C/li%3E%3Cli%3EWork requires ability to prioritize large volumes of work.%3C/li%3E%3Cli%3EWork requires good communication skills.%3C/li%3E%3Cli%3EWork requires working knowledge of Epic Resolute, EpicCare, and Epic CPOE.%3C/li%3E%3Cli%3EWork requires working knowledge of MS Excel.%3C/li%3E%3C/ul%3E%3Cp style=%22font-size:9pt;margin-bottom:0pt;margin-top:0pt;%22%3E%3Cspan style=%22font-family:Verdana;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp style=%22font-size:9pt;margin-bottom:0pt;margin-top:0pt;%22%3E%3Cspan style=%22font-family:Verdana;%22%3E%3Cstrong%3EPHYSICAL REQUIREMENTS/WORKING CONDITIONS%3C/strong%3E%3C/span%3E%3C/p%3E%3Cp style=%22font-size:9pt;margin-bottom:0pt;margin-top:0pt;%22%3E%3Cspan style=%22font-family:Verdana;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp style=%22font-size:9pt;margin-bottom:0pt;margin-top:0pt;%22%3E%3Cspan style=%22font-family:Verdana;%22%3E%3Cstrong%3EWorking Conditions%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3EClinical Setting%3C/li%3E%3Cli%3EOffice Setting%3C/li%3E%3C/ul%3E%3Cp style=%22font-size:9pt;margin-bottom:0pt;margin-top:0pt;%22%3E%3Cspan style=%22font-family:Verdana;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp style=%22font-size:9pt;margin-bottom:0pt;margin-top:0pt;%22%3E%3Cstrong%3ESalary Information%3C/strong%3E%3Cbr%3ESalary is commensurate with education, skills, and relevant experience.%3Cbr%3E%3Cbr%3E%3Cstrong%3ESECURITY AND EEO STATEMENT%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3ESecurity%3C/strong%3E%3Cbr%3EThis position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.%3Cbr%3E%3Cbr%3E%3Cstrong%3EEEO%3C/strong%3E%3Cbr%3EUT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.%3Cbr%3E%26nbsp;%3C/p%3E Job Details Primary Location: Texas-Dallas-5323 Harry Hines Blvd Work Locations: 5323 Harry Hines Blvd, Dallas, 75390 Job: Insurance/Billing Organization: 713002 - MG Rev Cyc Front End Schedule: Full-time Shift: Day Job Employee Status: Regular Job Type: Standard Job Level: Individual Contributor Job Posting: Oct 29, 2026, 3:44:29 PM

High school diploma or equivalent; 3 years medical billing or collections experience; ability to work complex E&M services and diagnostic studies; coding certification (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, CCA) preferred; Epic Resolute, EpicCare, Epic CPOE, MS Excel knowledge.

Key Responsibilities

• resolving coding edits
• performing charge reconciliation
• mentoring lower-level staff

Skills & Tools

Epic Resolute, EpicCare, Epic CPOE, Microsoft Excel

Job Details

• Category: Healthcare Services - Allied Health
• Seniority: Mid Level
• Commitment: Full Time
• Workplace: Remote — Texas, United States
• Languages: English

Benefits

• Generous paid time off
• Tuition reimbursement
• Retirement plan
• Generous parental leave

About UT Southwestern Medical Center

A world-renowned medical and research center committed to excellence, innovation, teamwork, and compassion. — Industry: Healthcare