Billing Specialist III

Required Experience and Education

• High school diploma or equivalent
• 3 years of medical billing or collections experience
• Ability to work complex E&M services, complex diagnostic studies, endoscopic, interventional, and/or surgical procedures
• Ability to make calls to obtain authorizations

Preferred Qualifications

• Coding certifications such as CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, or CCA
• Associate, bachelor’s, or master’s degree may be considered in lieu of experience
• Knowledge of Epic Resolute, EpicCare, and Epic CPOE
• Strong knowledge of MS Excel

Core Responsibilities

• Analyze and resolve coding edits for complex drug billing and specialty procedures
• Perform abstracting and validate or revise CPT codes, diagnosis codes, and modifiers
• Complete monthly charge reconciliation
• Serve as a resource to team leads, compliance auditors, medical collectors, and billing specialists
• Perform manual charge entry and resolve Epic Resolute claim edits
• Assist with insurance authorizations and patient balance communications
• Train or mentor lower-level staff as needed

Benefits and Perks

• Competitive and comprehensive benefits package
• PPO medical plan available day one at no cost for full-time employee-only coverage
• 100% preventive healthcare coverage with no copay
• Paid time off available day one
• Retirement programs through the Teacher Retirement System of Texas (TRS)
• Paid parental leave
• Wellness programs
• Tuition reimbursement
• Public Service Loan Forgiveness (PSLF) qualified employer