MSRDP Patient Finance Advocate - MSRDP Billing Operations - Account Services
Categories: Insurance / Billing
Department: MSRDP Acct Svcs Admin
Full/Part Time/PRN: Full-Time
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information
Experience and Education
High school diploma or equivalent plus four (4) years directly related experience in medical billing environment with at least two (2) years customer service experience in evaluating customer billing inquiries. Associates degree or two years of college is preferred.
Assist in answering incoming patient/client calls to the Customer Service Department.
Resolve complex account issues and escalated patient calls.
Assist patients from the beginning of the issue to the end of the issue to ensure a resolution by all parties.
Patient accounts assigned to this person will be their sole responsibility until completion.
Contact or work directly with patients regarding their self-pay balances for payment or payment arrangements.
Determine appropriate action to be taken and make independent decisions regarding adjustment and processing of open/unresolved billing issues.
Work directly with appropriate clinic Billing Managers and Patient Assistance Office Managers to correct and resolve patient complaints.
Perform audit of accounts to resolve discrepancies in account balances and ensure payments are in accordance with the respective contract, appropriate discounts or applicable write-offs.
Contact the departments when there are issues regarding the patient's coding or service.
Contact the patient's insurance company if there are any issues regarding benefits.
Contact the Follow Up department if there is a question regarding a denial or if an appeal is needed.
Contact the collection agencies if an account needs to be recalled from the agency or if there is any issue regarding payments.
Contact the Self-Pay or Insurance Posting Team(s) if there is any issue with posting.
Contact the Refund Team to ensure the patient and/or insurance refund is completed and sent out.
Work closely with Management to help identify and report trends pertaining to the Customer Service Work Queues. Make recommendations regarding work flows and procedures.
Stay abreast of the latest developments and trends in medical billing, customer service and collections. Attend seminars, webinars, and workshops and actively participates in Occupational Training and Development and Compliance educational activities.
Maintain knowledge of all university applicable rules, regulations, policies, guidelines that impact Billing Operations; seeks advice and guidance as necessary to ensure proper understanding of job functions.
Identify ways to improve work processes and provide recommendations for new or revised procedures, to enhance the collection and customer service process; implements and monitors results as appropriate in support of the overall goals of the department.
Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.
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.