Quality Assurance Specialist II-Patient Financial Services


Job Number: 366580
Category: Insurance/Billing
Location: 8200 Brookriver Dr, Dallas, TX
Department: 844110 - Patient Financial Services
Full/Part Time/PRN: Day Job
Regular/Temporary: Regular
Schedule: 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


Salary Negotiable

Experience and Education

High school diploma or equivalent (Associate's degree in health or science discipline preferred) and five (5) years' experience in three of the following areas of revenue cycle: billing, collections, payment posting, charge capture, or coding experience in healthcare environment. One year EPIC experience required.

Job Duties

1.Performs Revenue Cycle audits on PFS employees for medical, surgical, and billing operational departments for complete/appropriate data elements, action, and documentation on patient accounts to ensure timely resolution of claims.
2.Researches issues, summarizes findings. Provides recommendations to management for training and coaching purposes. Keeps statistics and reports them to management for performance improvement opportunities. Handles critical workloads and/or department special projects as assigned.
3.Investigates and responds to Quality Assurance inquiries, problems, questions or requests in timely and professional manner to ensure resolution.
4.Process scheduled user audits timely and upon request, to support management of functions. Keeping all information regarding any audits and investigations in the Quality Assurance department in complete confidentiality.
5.Process department audits and process investigations. Analysis for risk and improvements. Meet with other departments to discuss opportunities and gather information.

**Other Duties: Performs other duties as assigned.

UTSouthwestern 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; sex; including sexual harassment; age; disability; genetic information; citizenship status; and protected veteran status. In addition, it is UTSouthwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.