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 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!

JOB SUMMARY

The primary responsibilities for the role of Assistant Director, Med/Surg Clinical Follow up shall include but is not limited to the following: 

• Identify denial trending and implementing corrective upstream actions utilizing technology, automation, and innovative approaches. 

• Communicates timely across teams, any payor behavior issues, technical hurdles, and/or educational opportunities that impact denial mitigation & management performance.

• Oversight of clinical denials management for Medicine & Ancillary departments and Surgical departments, creating an environment of shared best practices across the campus.  

• Collaborate with revenue cycle colleagues, directors, and executive leaders to reduce denial rates and continuously improve revenue cycle performance.

Work From Home (WFH): This is a WFH position. Applicants must live within the State of Texas. Additional details may be discussed as part of the interview process. 

BENEFITS
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!

EXPERIENCE AND EDUCATION
Required

• Education
  Bachelor’s degree in business administration or public administration

• Experience
  6 years of relevant business experience in Billing, Revenue Cycle and Management for Medical/Surgical Follow-up and Denials Management
  May consider additional years of experience in lieu of education.

Preferred

• Education
  Master’s degree in business administration or public administration

• Licenses and Certifications
  Revenue cycle certification Upon Hire and
  Certified healthcare financial professional Upon Hire and
  Coding certification Upon Hire

JOB DUTIES

• Oversee and streamline eligibility denials workflows and/or medical surgical follow-up processes.
• Develop no-response specific and medical/surgical general follow-up functions and processes to ensure maximum workflow and productivity, communicating deficiencies as well as best practices to operations management.
• Monitor work queue aging and manage to meet MSRDP guidelines.
• Monitor denials management and determine corrective action plans.
• Supervise managers to ensure appropriate management and oversite of staff on a daily basis. Role includes hiring, engagement, retention, schedule, monitoring productivity standards, departmental training, approving time off, processing payroll, performance appraisals, disciplinary actions, and exit paperwork.
• Assist the accounting department by approving all departmental bills for accounts payable and keep comprehensive records.
• Review denial and claims data on a regular basis to ensure accountability and follow-up.
• Work collaboratively with Director and Assistant Director of Medical and Ancillary follow-up to establish and implement appropriate billing procedures, and procedures for follow-up on third-party approvals and collection of overdue patient accounts. Oversee denied, rejected and appealed claims to ensure proper follow-up and resubmission, if needed.
• Review and post weekly metrics for supervised staff to determine when operational goals are met.
• Communicate with leadership any trends/issues identified. Collaborate with contracting to resolve payor specific denial issues.
• Responsible for developing and maintaining data collection and issue reporting including but not limited to routine and special requests for department, management, administration and corporate offices within required timeframes.
• Serve as a resource to peers, staff and others, team leader, trainer as required, provides education, develops step actions, standards of performance and monitors and reinforces.
• Direct, monitor, assign, and evaluate workflows and processes in assigned areas. Work with other departments to ensure seamless process flow and offer suggestions when a workflow needs to be corrected or changed.
• Assist in developing the Revenue Cycle Departments budget and provides fiscal direction to the unit.
• Perform other duties as assigned.

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. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position.

EEO Statement
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.