Technical Denials Denials Management Specialist II – Revenue Cycle
Location: Dallas, TX
Location Type: Remote Eligible
Location Type: Remote Eligible
Job Number: 715477
Category: Insurance/Billing
Responsibilities
JOB SUMMARY:
The Department of Revenue Cycle at UT Southwestern Medical Center has a new employment opportunity available for the role of Technical Denials Management Specialist II.
- This is a work from home (WFH) position. Candidates do not have to live within the state of Texas. Exact details shall be discussed as part of the interview process.
- Shift: 8am-5pm Monday thru Friday
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.
EXPERIENCE | EDUCATION:
REQUIRED:
- High School Diploma; Associates Degree preferred
- Two (2) year experience in medical claims recovery and/or collections required.
JOB DUTIES:
- Contacting payers, via website, phone and/or correspondence, regarding reimbursement of unpaid accounts over thirty (30) days or more, also researching and following up on denials and requests for additional information.
- Interpret Managed Care contracts and/or Medicare and Medicaid rules and regulations to ensure proper reimbursement/collection.
- Make necessary adjustments as required by plan reimbursement.
- Performs payment validation by utilizing internal and/or external resources to ensure proper reimbursement.
- Reviews, research, and appeal partially denied claims for reconsideration.
- Responsible for contacting patients to gain additional information required to resolve an outstanding insurance balance.
- Functions as resource person for departmental personnel to answer questions and assists with problem resolution.
- Performs other duties as assigned.
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. 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.
etic information, citizenship status, or veteran status.
Benefits
Health Benefits
- PPO and ACO Options
- 100% Coverage for Preventative Health − No Co-Pay
- Tobacco-Free Incentives
- Generous Prescription Drug Plan
- 3 Options for Dental Coverage
- 2 Options for Vision Coverage
- Abundance of Wellness and Employee Assistance Programs
Retirement Plan
(Eligibility varies by employment status)
- The Teacher Retirement System of Texas is a defined benefit plan with 5-year vesting
- Employee Contribution Max 7.7% of salary
- Employer Contribution Match up to 7.5% of salary
- Optional Retirement Program (ORP) defined contribution plan with 1 year, 1 day vesting
- Employee Contribution Max of 6.65% of salary
- Employer Contribution Match of 8.5% of salary
- Optional Tax-Sheltered Annuity
- Optional Deferred Compensation Plan
PTO Benefits
- 15 Paid Holidays, Eligible Day 1
- 8 Hours/Month Accrued Vacation
- 8 Hours/Month Accrued Sick Leave
Other Benefits
- On-Site Day Care
- Employee Discount Program
- Tuition Reimbursement Program
- Long-Term Disability Coverage
- Short-Term Disability Coverage
- Voluntary Group Life Coverage
- Accidental Death & Dismemberment Coverage
Working at UTSW
Bring Your “A” Game.
Why are top candidates in so many professional fields – including customer service, finance, and human resources, to name a few – choosing UT Southwestern Medical Center as a career home? Simple. They know that they will work among a team of people who bring their best every day to support a health organization that’s breaking new ground in dozens of ways. That’s what we can offer you.
It takes a lot to keep UT Southwestern at the forefront, where world-class patient care, acclaimed medical education, and innovative research breakthroughs are common occurrences. When you join us, those are the challenges you’ll share. Our organization has taken on serious commitments and responsibilities within a rapidly evolving health care system.
Change is a constant, so our work supporting this complex matrix of business and systems needs must rise to the highest level of professionalism, collaboration, and innovation. That’s true for every role across the Medical Center and represents why this can be the most challenging work of your career.
Employee Testimonials
Vanessa Pantoja
Vanessa Pantoja
GME Program Coordinator
GME Program Coordinator
Dallas is the perfect size city for me. There are always amazing things to do in Dallas, from visiting the arts district, to museums, concerts, sporting events, and the state fair.
Brenda Edwards.
Brenda Edwards
Licensed Clinical Social Worker
Licensed Clinical Social Worker
UT Southwestern is a great place to work and learn. Innovation and creativity to improve the quality of patient care are encouraged. Leadership within my team and department is supportive.
Denise Anderson
Denise Anderson
GME Coordinator I
GME Coordinator I
I love working at UT Southwestern because of its great staff and great benefits. Everyday is extraordinary because there’s opportunity to expand your knowledge and advance your career.
