Credit A/R Specialist II

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 Cash Management Division of the Revenue Cycle Department has an exciting opportunity for a Credit A/R Specialist II to join the team. This role plays a critical part in ensuring accurate and timely financial transactions between patients, insurance companies, and UT Southwestern. The responsibilities of this position include, but are not limited to:

Key Responsibilities:

• Research and resolve overpayment correspondence from various payers requesting refunds.
• Resolve credit balances for self-pay and insurance accounts resulting from payment posting, charge entry, contractual adjustments, and overpayments.
• Analyze payer underpayments, variances, and denials.
• Follow up with payers to initiate refund/recoupment for overpayments.
• Review patient accounts for incorrect posting, including contacting insurance companies and patients, or researching insurance payments to identify the cause of credit balances.
• Validate and issue refunds to patients for overpayments or duplicate payments in accordance with state regulations and contractual obligations.
• Distribute funds according to UT Southwestern policy and payer remits.
• Appropriately transfer payments between invoices and/or accounts.
• Perform other duties as necessary to support the team and department goals.

Shift Details:

• 8-hour flexible shifts with a self-selected start time.

Work From Home (Wfh):

• Applicants must reside within 50 miles of DFW to be eligible for this remote opportunity.
• Specific details about WFH policies and expectations will be discussed during the interview process.

About the Role:
This is an excellent opportunity for those who have a strong attention to detail, experience in A/R and credit management, and a passion for problem-solving. We offer flexibility, a collaborative team environment, and the chance to make a meaningful impact on both patient accounts and the financial health of the organization.

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 Educationrequired

• EducationHigh School Diploma or equivalent  
• Experience3 years' experience performing follow-up/collections, payment posting, appeals and managed care contract understanding/interpretation  

Preferred

• ExperienceAt least six (6) months related work experience performing appeals and managed care contract understanding/interpretation  

Job Duties

• Reviews patient accounts for incorrect posting which may include contacting insurance companies, patients and researching insurance payments to identify and correct posting errors, reviewing credit reports and age reports to identify posting problems.
• Validate and issue refunds to patients and third-party carriers for overpayment or duplicate payment, according to state regulations and contractual obligations.
• Identifies and resolves credits posted to patient accounts; corrects overpayments or distributing funds according to UT Southwestern policy.
• Identifies and denies any refund request letters that are past the insurance refund deadline.
• Appropriately transfer payments between invoices and/or accounts.
• Communicate, approve, and reject refund requests to payers and third-party carriers, via phone call and written correspondence.
• Verifies insurance is correct, update insurance demographics, rebill claims and perform appeals if applicable.
• Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.
• Performs other related duties as required.

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.