Manager of Billing Operations

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! 
 

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!

This is mostly a remote position but will need to come into the office from time to time for meetings, etc. Candidates must live in or around the Dallas/Fort Worth metroplex

EXPERIENCE AND EDUCATION

Required

• EducationHigh School Diploma Or equivalent   
• Experience10 years Hospital billing/ops to incl fed, state, third party payors, research & transplant. and 3 years of progressive supv/mgmt exp with extensive knowledge of Patient Financial systems & processes including the Healthcare revenue cycle, coding & billing compliance. and <1-year Proven record of identifying PI opportunities.  

Preferred

• Educationbachelor'S Degree

Experience

Imaging and hospital experience
 

Job Duties

• Demonstrate continuous performance improvement in targeted areas of responsibility in alignment with the overall annual Hospital performance improvement targets. a) Manages daily operation of all Hospital Billing to ensure all charges are processed & billed in a timely manner to include Fed., State, & Third-Party Payors. (Billing & Collections of all Fed./ State Payors i.e. Medicate/Medicaid. Responsible for daily exporting of claims from Billing sys to claim editor.
• Daily reconciliation between systems. b) Manages research and client billing and collections. Maintaining appropriate fee schedules. c) Manages billing/collection of Solid Organ & BMT srvcs to include acquisition, pre/post-transplant. Manages Special Billing protocols to incl. package plans, self-pay, intl. patient billing, purchased srvcs, workers comp & occupational billing, & other clinical depts, etc. Maintains appropriate fee schedules.
• Meets or exceeds financial goals & objectives of the department.
• Manages & monitors the quality & quantity of work & service provided by team to ensure team meets production, billing & cash goals set for the department. Ensures system work lists & settings are providing the best work source for staff. Works with staff identifying payor reimbursement issues. Assist in perf. analysis to determine root causes (payor or hospital), for payment variance issues & resolution.
• Analyzes, recommends, & implements policies & procedures as needed to maximize reimbursement for services rendered in compliance with established government & third-party guidelines. Close collaboration with HIM/Coding Audit & Denial teams.
• Acquires and maintains thorough knowledge of Federal & State Legislative & Administrative action affecting reimbursement; disseminates acquired knowledge to leadership. "Risk Reporting" monthly as outlined by Office of Compliance.
• Audits posting of payments for purchased services, client & research billing. Coordinates all workflow issues & account concerns with PFS leadership.
• 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.