Patient Financial Services - Remote Eligible

UT Southwestern

With over 75 years of excellence in Dallas-Fort Worth Texas UT Southwestern is committed to excellence innovation teamwork and compassion. As a world-renowned medical and research center we strive to provide the best possible care resources and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare PTO and paid holidays on-site childcare wage merit increases and so much more. We invite you to be a part of the UT Southwestern team where you’ll discover a culture of teamwork professionalism and a rewarding career!

UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing and include: 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 Learn more about these and other UTSW employee benefits!

Work Schedule

This position is mostly remote but may need to come to the office periodically. The shift is Mon-Fri and has a flexible start time between 7am-9am. This will be discussed more in the interview. Candidate must reside in the Dallas/Fort Worth metroplex.

Experience and Education

Required Education: High School Diploma and Experience: 5 years of hospital medical billing and collections experience. Preferred Education: Bachelors Degree Experience: Financial counseling experience Knowledge of payer contracts. Transplant payer contract knowledge is highly preferred but not required.

Job Duties

Analyze payer underpayments variances and denials. Escalate trends make comprehensive suggestions and file professional appeals according to our contractual agreements and UT Southwestern policy. This includes timely processing of allocated volume of accounts based on established production guidelines and time parameters provided for workflow. Responsible for outbound calls and/or status inquiries via payers website validating receipt of medical claims and adjudication status within established timeframes. Display competent ability to access navigate and manage account information through phone calls and payer websites. Documents all work and calls performed in accordance to policy. This includes complete contact information good grammar and expected outcomes. Display competency and ability to work within client based research and UTSW special arrangements. This includes but is not limited to: calculating the physician and hospital share and working with MSP to transfer the physicians share to that department working with other departments at UTSW to properly invoice clients and bill claims for proper adjudication per our agreements. Be knowledgeable on all payer types and effectively work on special projects for specific initiatives for account resolution projects. Demonstrate confidence and sound decision making for processing through large volumes of denials complex accounts or contractual reviews as identified from strategic leadership requirements. Make necessary adjustments as required by plan reimbursement. Function as a departmental liaison for billing and collections support for internal and external customers as required. Utilize systems tools and department resources to achieve production and quality targets for resolution of patient accounts. Investigates and responds to questions or requests for additional information in a timely and professional manner to ensure proper timely and accurate payment of patient accounts. Maintains passing QA Scores Attends in-services classes and meetings related to all operations to the PFS department. Understands reimbursement of all 3rd party payers.

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. EEO: UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer UT Southwestern prohibits unlawful discrimination including 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.