Billing Specialist II - Women's Care Clinic

Billing Specialist II
- Women's 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 weekly, Monday thru Friday, 7:30a - 4:30p Women's 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

• High School Diploma or Equivalent (required)

• 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.

• 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 escape 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

• Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement,…