Job description

JOB SUMMARY:
Why 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 patients and employees. With over 20,000 employees, we are committed to continuing our growth with the best professionals in the healthcare industry. We invite you to be a part of the UT Southwestern team where you’ll discover teamwork, professionalism, and consistent opportunities for growth.

COVID-19 Mandate

Compliance with the COVID-19 vaccine mandate enforced by the Centers for Medicare and Medicaid (CMS) is a requirement for this position. Federal law requires individuals holding this position to be fully vaccinated or have an approved exemption for certain medical, disability, or religious reasons. Individuals who do not meet CMS vaccination requirements are not eligible and should not apply for this position but are encouraged to apply for other non-healthcare positions at UT Southwestern for which they qualify.

For COVID-19 vaccine information, applicants should visit https://www.utsouthwestern.edu/covid-19/work-on-campus/

Experience and Education

High school diploma or equivalent and seven (7) years experience in physician practice plan or medical facility, healthcare, or medical insurance environment to include three (3) years supervisory experience and previous exposure to hospital or physician billing. Bachelor\'s degree and professional or hospital billing or customer service experience preferred.

Job Duties

1. Reviews details of hospital and professional billing to ensure all charges are processed and billed accurately and in timely manner.

2. Understands policies and procedures pertaining to maximization of reimbursement for all services rendered in compliance with established third party guidelines.

3. Designs and compiles financial reports for management to include analysis of revenue and medical service activity. Reports on trends.

4. Coordinates review of billing and collection efforts with MSP, University Hospitals, all third party payers, and clinical departments.

5. Analyzes issues pertaining to self-pay collections and customer service processes and procedures.

6. Completes root cause analysis for review with appropriate manager(s) in an effort to improve services and/or processes.

7. Upon determination of resolutions that impact statements, communicates with appropriate billing area to facilitate adjustments, reimbursements, corrections, etc.

8. Works with Associate Director to recommend billing compliant resolutions. Monitors and reports on outstanding account issues.

9. Acquires and maintains thorough knowledge of Federal and State Legislative and Administrative action affecting physician reimbursement.

10. Understands auditing and billing policies and procedures to ensure maximization of revenue for departments and hospitals.

11. Interacts with MSP and PFS Managers, Supervisors and Staff, Department billing office staff and management, University Risk Management, Legal and Compliance Staff.

12. Duties include speaking with patients regarding their billing complaints. Addresses issues that can be handled on the spot and explains the Institutions process for investigating concerns.

SECURITY

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; sex; including sexual harassment; age; disability; genetic information; citizenship status; and protected veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.

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