REIMBURSEMENT SPECIALIST
UT Southwestern Medical Center - Dallas - Dallas, TX

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Security

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

Salary

Salary Negotiable

Experience and Education

High School diploma or GED and four (4) years progressively responsible experience in medical insurance, medical billing, or medical reimbursement. Certified Professional Coder (CPC), Advanced Records Technician (ART), or Registered Records Administrator (RRA) preferred.
Any equivalent combination of related education and/or experience may be considered for the above.

Job Duties

Performs policy analysis for managed care issues by reviewing contracts, writing clause revisions, making recommendations for reimbursement policy changes, reviewing reports and financial data, and analyzing fee schedules, encounter forms, diagnosis, and procedure codes. Ensures contracts reflect appropriate business decisions.
Ensures projects related to reimbursement issues are completed on time and changes are implemented appropriately by conducting meetings, organizing activities, reviewing data analyses and reports, and creating reimbursement policies and procedures.
Documents findings by writing inquiry letters, constructing opinion letters, maintaining contract files, and maintaining files for research documents.
Performs other duties as assigned.

**Other Duties: Performs other duties as assigned.