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
This position is responsible for supervising day-to-day operations of assigned billing group. The successful applicant will manage several direct reports and indirect reports. The successful candidate will oversee a team of technical denial follow-up analysts (6-15 employees) to ensure accurate claims processing, timely payments, and compliance with regulations like HIPAA.
Key responsibilities include the following:
- Supervising staff
- Reviewing invoices/claims
- Monitoring accounts receivable
- Resolving escalated issues
- Tracking key metrics
- Training team members on billing systems and regulatory changes
Shift: 8-hour flex shift, Monday through Friday
Work From Home (WFH): This is a WFH position. The applicant must live within the Greater DFW area. Additional details shall be discussed during the interview.
Core responsibilities
- Supervision: Lead and manage a team of collections staff to ensure efficient workflow, productivity, and adherence to goals.
- Process management: Oversee the day-to-day operations of insurance follow-up and denials management.
- Quality assurance: Conduct audits and review insurance claims and patient invoices for accuracy and completeness.
- Problem-solving: Resolve complex or escalated billing issues with patients and payers and rectify inefficiencies.
- Performance monitoring: Track key revenue cycle metrics, prepare performance reports, and implement strategies to reduce outstanding balances.
- Training and development: Train staff on day-to-day processes
- Compliance: Ensure the team adheres to all relevant laws and regulations, including HIPAA, payer guidelines, and state and federal rules.
- Collaboration: Work with other departments, such as finance and clinical staff, to improve overall revenue cycle processes.
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
High School Diploma or equivalent.
- Experience
5 years Experience working with medical claims recovery and/or denials management and regulations within a healthcare or insurance environment. and
Preferred
- Experience
5 years in a lead or supervisory experience
JOB DUTIES
- Supervises day-to-day operations of assigned group.
- Ensures production and quality control standards are met by reviewing management reports.
- Assigns workload to meet production requirements by evaluating production reports.
- Maintains performance standards by counseling employees, performing appraisals and providing required training.
- Ensures departmental policies and procedure are followed. In addition, develops and revises policies and procedures as needed. Maintains written procedures for workflow by writing or updating procedures as needed. Communicates and educates all applicable information to appropriate personnel and affiliated facilities as required.
- Completes reporting to management.
- Compiles analyzes, report status and issues involving all aspects of assigned area. Makes recommendations to management to reflect changes by reviewing various reports and other data, identifies conflicts and write resolutions.
- Participates in project groups and task force teams.
- Completes special projects as assigned by management.
- Reviews and analyses information, identifies problems, recommends solutions and/or writes reports for management or other personnel within established performance guidelines. Provides training and makes effective business presentations to staff.
- Monitors correspondence received from various. Audits mail returned for bad addresses and updates addresses as needed. Audits patient accounts for mailing problems.
- Resolves complex problems and questions by contacting insurance companies, places of employment, or federal agencies.
- Performs 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.
EEO
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.
