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
Works under supervision to provide support on all pharmacy billing inquiries.  Monitor assigned pharmacy work queues, resolve errors, and respond to request for information.  Research, analyze, and resolve rejected claims.  Prepare and maintain reports that help identify discrepancies.  Work with internal and external auditors to resolve rejected NDCs.  Adjust billing charges as needed.  Reconcile pharmacy invoices.  Assist others within the pharmacy finance team.

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!

ESSENTIAL FUNCTIONS

Job Duties

• Monitor assigned pharmacy work queues, resolve errors, and respond to requests for information; work with others internally to resolve any issues.
• Tracks and resolves at risk revenue associated payer set up, billing, rebilling and reversal processes.
• Prepare and maintain reports that help identify discrepancies related to billing, reimbursement, and/or drug price inaccuracies.
• Help answer questions related to reconciliations, claim billing, and reimbursement.
• Run reports as needed.
• Reconcile all pharmacy invoices.
• Assist others within the pharmacy finance team.
• Perform other duties as assigned

QUALIFICATIONS

Education and Experience

Required

• Education
  High School Diploma High School graduation, vocational school graduation, or GED. 

• Experience
  2 years of relevant experience as a pharmacy technician or pharmacy claims billing specialist

• Licenses and Certifications
  Registration with Texas State Board of Pharmacy as a Registered Technician Upon Hire

Preferred

• Licenses and Certifications
  At least one coding certification (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, or CBP) 
  National Certification with Pharmacy Technician Certification Board

Knowledge, Skills and Abilities

• Work requires good general health and stress coping ability.
• Work requires good communication skills.
• Work requires the ability to prioritize large volumes of work.
• Work requires the ability to analyze problems, develop solutions, and implement new procedures.

PHYSICAL DEMANDS/WORKING CONDITIONS

• Physical Demands
  Handling 
  Talking

• Working Conditions
  Office Setting

PACT STATEMENT

The following is the acronym, “PACT”, and is fundamental to all non-clinical positions at UT Southwestern Medical Center:

• P-Problem Solving: Employees take ownership in solving problems effectively, efficiently, and to the satisfaction of customers, or managers. They show initiative in addressing areas of concern before they become problems.
• A-Ability, Attitude and Accountability: Employees exhibit ability to perform their job and conduct themselves in a professional and positive manner reflecting a professional environment readily assuming obligations in a dependable and reliable manner.
• C-Communication, Contribution, and Collaboration: Who are our Customers? Anyone who requests our help, needs our work product, or receives our services. Employees focus on customer service with creative solutions while improving the customer experience through clear, courteous, and timely delivery and communication. Sharing ideas with others helps expand our contribution to department goals.
• T-Teamwork: Employees work to contribute to the department’s success by supporting co-workers, promoting excellence in work product and customer service, and in maintaining a satisfying, caring environment for each other.

Security

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

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.