Health Business Specialist

Title: Health Business Specialist

Employee Classification: Health Business Specialist

Campus: University of North Texas - Health Science Center

Division: HSC-Health Systems

SubDivision-Department: HSC-Health Systems & Clinical Aff

Department: HSC-HSC Health Administration-335001

Job Location: Fort Worth

Salary: Commensurate with Experience

FTE: 1.000000

Retirement Eligibility: TRS Eligible

About Us - Values Overview

Department Summary

UNT Health is the academic clinical practice for the Health Science Center. Focused on improving health outcomes to build a healthier community, UNT Health primary and multispecialty care clinics are located on the UNT Health Fort Worth, Denton, and Dallas UNT campuses. Our care teams extend to local hospitals, surgery centers, long term and continuing care centers, and mobile and in-home care. UNT Health’s interprofessional teams work collaboratively to achieve an optimized treatment plan tailored to the individual patient. Physicians, nurse practitioners, physician assistants, physical therapists, pharmacists, social workers, psychologists, specialized technicians, and nurses work together while intentionally integrating health care students, residents, and fellows to deliver care to our community.

Position Overview

UNT Health is seeking to hire a Health Business Specialist to join our team. This position is highly focused on the resolution of insurance processing errors and/or denials. Responsible for optimizing physician reimbursement. Provide financial, administrative, and clerical support related to claims. Research claims with no payment or response from payor. Analyze denials to identify trends and determine most expedient methods of collecting reimbursement for services provided. Resolve claims issues and other discrepancies according to established policies and procedures in an efficient, timely and accurate manner. Answer incoming patient billing calls. Review claim billing for accurate patient balances and maintain patient payment plans.

Minimum Qualifications

Bachelor's degree in a related field, or any equivalent combination of education or experience.

Knowledge, Skills and Abilities

• Strong attention to detail to ensure accurate coding and billing processes are completed.
• Excellent communication skills to work effectively with others.
• Proficiency in reviewing and analyzing accounts to identify and correct errors in a timely manner.
• Strong problem-solving skills to address and correct denial trends.

Preferred Qualifications

The preferred candidate will possess the following additional qualifications: NextGen experience. Bilingual

Job Duties

• Set up and maintain patient payment plans. Process patient payments .
• Review claim billing for accuracy in regard to patient billing.
• Take incoming patient billing calls to review and address all patient billing questions.
• Work denied claims reports to correct and either rebill or appeal claims in a timely manner to ensure timely file deadlines are met.
• Contact insurance payers regarding claim denials for reprocessing.
• Stay current on insurance payer billing guidelines and changes .
• Review claim denials for billing and payer processing accuracy.
• Track denial trends and determine most expedient methods of collecting reimbursement for services provided.

Physical Requirements

• Communicating with others to exchange information.

Environmental Hazards

• No adverse environmental conditions expected.

Work Schedule

Monday - Friday, 8am to 5pm

Driving University Vehicle

No

Security Sensitive

This is a Security Sensitive Position.

Special Instructions

Applicants must submit a minimum of two professional references as part of their application. If needed, additional references can be added after the application has been submitted. 

Benefits

For information regarding our Benefits, click here.

EEO Statement

The University of North Texas System is firmly committed to equal opportunity and does not permit –and takes actions to prevent – discrimination, harassment (including sexual violence, domestic violence, dating violence and stalking), and retaliation on the basis of race, color, religion, national origin, sex, age, disability, genetic information, or veteran status in its application, employment practices, and facilities; nor permits race, color, national origin, religion, age, disability, veteran status, or sex discrimination and harassment in its admissions processes, and educational programs and activities. UNT System Administration promptly investigates complaints of discrimination, harassment, and related retaliation and takes remedial action when appropriate. System Administration also takes actions to prevent retaliation against individuals who oppose any form of harassment or discriminatory practice, file a charge or report, or testify, assist, or participate in a related investigation or proceeding.