UT Southwestern Medical Center
Eligibility Denial Specialist I
UT Southwestern Medical Center, Dallas, Texas, United States, 75215
About UT Southwestern
UT Southwestern Medical Center, a world‑renowned medical and research center in Dallas‑Fort Worth, Texas, has over 75 years of excellence. Committed to innovation, teamwork, and compassion, we offer competitive benefits and opportunities for career growth.
Job Summary The Eligibility Denial Specialist I (MSP) researches basic denied claims to ensure correct payers are billed in a timely manner. This role is a work‑from‑home position for Texas residents and includes a flex‑shift schedule (06:00‑17:00).
Responsibilities
Verify insurance information and update registration data.
Work with high‑volume denial inventory and resolve denied claims based on eligibility.
Interpret Explanation of Benefits (EOB) and contact payers via website, phone, or correspondence.
Assist patients with coordination of benefits and coverage denials.
Update registration and demographic information in hospital billing service areas.
Review and resolve visit filing order changes.
Liaise between clinical departments and third‑party payers.
Complete special projects and maintain management reports to identify billing issues.
Perform other duties as assigned.
Qualifications
High school diploma or equivalent.
Minimum 2 years of experience in medical billing, claims processing, and/or insurance eligibility.
Medical billing certification or graduate degree may substitute for experience.
Benefits
PPO medical plan available day one at no cost for full‑time employee‑only coverage.
100% coverage for preventive healthcare (no copay).
Paid time off available day one.
Retirement programs through the Teacher Retirement System of Texas (TRS).
Paid parental leave benefit.
Wellness programs.
Tuition reimbursement.
Public Service Loan Forgiveness (PSLF) qualified employer.
Security and EEO Statement Security This position is security‑sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
Equal Employment Opportunity UT Southwestern Medical Center is an equal‑opportunity employer. We prohibit unlawful discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
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Job Summary The Eligibility Denial Specialist I (MSP) researches basic denied claims to ensure correct payers are billed in a timely manner. This role is a work‑from‑home position for Texas residents and includes a flex‑shift schedule (06:00‑17:00).
Responsibilities
Verify insurance information and update registration data.
Work with high‑volume denial inventory and resolve denied claims based on eligibility.
Interpret Explanation of Benefits (EOB) and contact payers via website, phone, or correspondence.
Assist patients with coordination of benefits and coverage denials.
Update registration and demographic information in hospital billing service areas.
Review and resolve visit filing order changes.
Liaise between clinical departments and third‑party payers.
Complete special projects and maintain management reports to identify billing issues.
Perform other duties as assigned.
Qualifications
High school diploma or equivalent.
Minimum 2 years of experience in medical billing, claims processing, and/or insurance eligibility.
Medical billing certification or graduate degree may substitute for experience.
Benefits
PPO medical plan available day one at no cost for full‑time employee‑only coverage.
100% coverage for preventive healthcare (no copay).
Paid time off available day one.
Retirement programs through the Teacher Retirement System of Texas (TRS).
Paid parental leave benefit.
Wellness programs.
Tuition reimbursement.
Public Service Loan Forgiveness (PSLF) qualified employer.
Security and EEO Statement Security This position is security‑sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
Equal Employment Opportunity UT Southwestern Medical Center is an equal‑opportunity employer. We prohibit unlawful discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
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