MSRDP Technical Denials Management Specialist II - Medicine and Ancillary Services

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POST DATE 8/27/2016
END DATE 11/24/2016

UT Soutwestern University Medical Center Dallas, TX

Company
UT Soutwestern University Medical Center
Job Classification
Full Time
Company Ref #
523854
AJE Ref #
575995742
Location
Dallas, TX
Experience
Entry Level (0 - 2 years)
Job Type
Regular
Education
High School Diploma or GED

JOB DESCRIPTION

APPLY
Full/Part Time/PRN: Full-Time
Regular/Temporary: Regular















Security
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This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information





Salary
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Salary Negotiable





Experience and Education
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High School Diploma and one (1) year experience in medical claims recovery and/or collections rules and regulations preferred.







Job Duties
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1. Responsible for outbound calls and/or status inquiries via payer s website validating receipt of medical claims.
2. Verifies insurance.
3. Update insurance demographics and rebill claims not received.
4. Documents all work and calls performed.
5. Obtain primary and/or secondary eob and CMS 1500 to bill next responsible payer.
6. Utilize various internal resources to obtain medical records to respond to requests from the third party payers for additional information.







Performs other duties as assigned.



To the extent provided by applicable law, no person shall be excluded from participation in, denied the benefits of, or be subject to discrimination under any program or activity sponsored or conducted by The University of Texas System or any of its component institutions, on the basis of race, color, national origin, religion, sex, sexual orientation, age, veteran status, or disability..