Analyze payer underpayments, variances, and denials, and submit professional appeals in accordance with contractual agreements and UT Southwestern policy.
Process allocated account volumes within established production guidelines and timeframes.
Perform outbound calls and payer website inquiries to validate claim receipt and adjudication status.
Document all work, calls, and outcomes accurately and professionally.
Support client-based research, special arrangements, and departmental billing and collections needs.
Work with internal departments to properly invoice clients and support correct claim adjudication.
Handle special projects, complex denials, and contractual reviews as needed.
Make reimbursement-related adjustments and assist in resolving patient accounts.
Serve as a departmental liaison for billing and collections support for internal and external customers.
Use department systems and resources to meet production and quality targets.
Respond to questions and requests for additional information in a timely and professional manner.
Maintain passing QA scores and participate in departmental meetings, classes, and in-services.
High school diploma required.
5 years of hospital or medical billing experience required.
Bachelor’s degree preferred.
Hospital billing and collections experience preferred.
Traditional Medicare billing and follow-up experience preferred.
Knowledge of payer types, reimbursement processes, claims adjudication, and denials management.
Strong communication, documentation, and decision-making skills.
Ability to navigate phone systems, payer websites, and account information systems.
PPO medical plan available day one at no cost for full-time employee-only coverage.
100% coverage for preventive healthcare with no copay.
Paid time off available day one.
Retirement programs through the Teacher Retirement System of Texas (TRS).
Paid parental leave.
Wellness programs.
Tuition reimbursement.
Public Service Loan Forgiveness (PSLF) qualified employer.
Location
Dallas, Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago