Billing Specialist II - Womens Care Clinic - Full-Time, Days

Billing Specialist II Womens Care Clinic Full-Time Days

Bring your passion to Texas Health so we are Better Together

Work location: 2665 Scripture Street Suite 220 Denton TX 76201

Work hours: Full-time 40 hours weeklyMonday thru Friday 7:30a 4:30p

Womens Care Department Highlights:

• Strong teamwork and collaboration
• Fast-paced high volume inbound/outbound calls
• Compassion and empathy to our patients and the Team
• Join an innovative team working towards making healthcare more accessible integrated and reliable

Heres What You Need

• 2 Years Billing Experience in a Health Care Environment (required)

• Working knowledge of professional billing revenue cycle workflows within Epic (charge review PCR etc).

• Ability to interpret account activity work queues explanation of benefits and billing edits.

• Strong analytical skills with the ability to identify patterns trends and root causes of billing issues.

• Clear written and verbal communication skills to effectively partner with clinic staff and revenue cycle teams.

• High attention to detail and strong time management skills to balance multiple work queues.

What You Will Do

• Delivers care to patients utilizing the Billing Specialist II process.

  Charge Review Manual Charge Entry & Work queue Management:

• Actively manage the Clinic Registration Charge Review Work queue to ensure charges are complete accurate and released timely.

• Identify any charges that require manual charge entry and enter the charges into Epic via the manual charge entry process.

• Identify missing duplicate or incorrect charges and initiate corrections using Epic reporting activity.

• Monitor charge lag trends and escalate recurring issues to clinic leadership and revenue integrity partners.

• Pending Clinic Response (PCR) Work queue & Follow-Up:

• Work the PCR Work queue to resolve charge-related edits rejections and payer-specific requirements.

• Collaborate with Coding & Reimbursement teams when documentation clarification coding review or audits are required ensuring issues are routed appropriately rather than reworked independently. Track outcomes of PCR activity to identify upstream process improvement opportunities.

  Clinic Follow-Up from Customer Service:

• Manage the Clinic Follow-Up Work queue generated from centralized Enterprise Customer Service inquiries complaints or requests requiring clinic-level billing or charge review action.

• Research account activity charges and documentation to resolve billing questions efficiently and return clear accurate responses to Enterprise Customer Service within defined SLAs.

• Support resolution of patient-impacting issues without direct patient contact reinforcing the centralized service model.

• Proactive Error Identification & Communication:

• Identify common billing charge capture and registration-related errors (e.g. missing orders incorrect

• provider coverage issues impacting billing).

• Communicate trends and recurring errors to clinic staff practice managers and operational partners with clear actionable guidance to prevent future issues.

• Partner with clinic leadership to support education tip sheets or workflow reinforcement aimed at reducing denials and rework.

  Cross-Functional Collaboration:

• Work collaboratively with:

• Enterprise Customer Service teams for any patient facing financial experience questions / concerns.

• Coding Reimbursement & Documentation (CRD) for any coding related questions / concerns.

• Revenue Integrity

• Patient Access / Registration

• Escalate systemic issues through established governance or committee structures as appropriate

Additional perks of being a Texas Health employee

• Benefits include 401k PTO medical dental Paid Parental Leave flex spending tuition reimbursement Student Loan Repayment Program as well as several other benefits.

• Delivery of high quality of patient care through nursing education nursing research and innovations in nursing practice.

• Strong Unit Based Council (UBC).

• A supportive team environment with outstanding opportunities for growth.

Learn more about our culture benefits and recent awards.

Entity Highlights:

Texas Health Physicians Group includes more than 1000 physicians nurse practitioners and physician assistants dedicated to providing quality patient-safe care at more than 240 offices located throughout the DFW Metroplex.

THPG members are active in group governance and serve on multiple committees and councils. Ongoing Texas Health initiatives like the Diversity Action Council and Living the Promise have helped to create an inclusive supportive people-first excellence-driven culture and workplace making THPG a great place to work.

If youre ready to join us in our mission to improve the health of our community then lets show the world how were even better together!

Do you still have questions or concerns Feel free to email your questions to .

#LI-CT1

Required Experience:

IC