Billing Specialist II – Women’s Care Clinic – Full-Time, DaysBring 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 collaborationFast-paced, high volume inbound/outbound callsCompassion and empathy to our patients and the TeamJoin an innovative team working towards making healthcare more accessible, integrated, and reliableHere’s What You NeedHigh 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 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, incorrectprovider, 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 IntegrityPatient Access / RegistrationEscalate systemic issues through established governance or committee structures as appropriate Additional perks of being a Texas Health employeeBenefits 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 1,000 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 you’re ready to join us in our mission to improve the health of our community, then let’s show the world how we’re even better together! Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org. #LI-CT1