Job Details


Job Number: 525128
Categories: Insurance / Billing
Dallas, TX

Department: University Hospitals
Full/Part Time/PRN: Full-Time
Regular/Temporary: Regular


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


Salary Negotiable

Experience and Education

High school graduate and at least eight (8) years of hospital & medical office experience is required.

Job Duties

Identifies provider/payer contracting/reimbursement issues.Performs analysis to determine root causes (payer or hospital), for payment variance issues and resolves.
Projects related to reimbursement - Ensures projects are completed on time.
Productivity - Utilizes system tools to achieve production and quality targets for resolution of AR accounts & required reporting.
Provides feedback and support to Managed Care department (System Analyst and Management Team), to ensure accurate reimbursement from payer.
Reviews & performs follow-up on complex, high dollar accounts with intricate managed care contracts.
Identifies problems and inconsistencies utilizing management reports, researches problems, summarizes findings, and makes recommendations.
Responds to all reasonable requests in an appropriate and timely manner.
Consistently maintains a monthly QA Average score above the standard of 80%.
Communicates to patients, co-workers and visitors, in a concise, clear and positive manner.
Develops and maintains analysis on payer reimbursement trends. Communicates to appropriate departments (Plan Code Changes, Billing Payer Specific).
Performs other duties as assigned.

**Other Duties: Performs other duties as assigned.

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; gender, including sexual harassment; age; disability; citizenship; and 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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