Job description

JOB SUMMARY:
The Revenue Cycle Department at UT Southwestern Medical Center has an available position for the role of Technical Denials Management Specialist II.

This is a work from home position. Exact details shall be discussed as part of the interview process.

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 patients and employees. With over 20,000 employees, we are committed to continuing our growth with the best professionals in the healthcare industry. We invite you to be a part of the UT Southwestern team where you’ll discover teamwork, professionalism, and consistent opportunities for growth.

EXPERIENCE | EDUCATION:
REQUIRED:
High School Diploma and Two (2) years’ experience in medical claims recovery and/or collections required

Associate degree preferred.

JOB DUTIES:
Contacting payers, via website, phone and/or correspondence, regarding reimbursement of unpaid accounts over thirty (30) days or more, also researching and following up on denials and requests for additional information.

Interpret Managed Care contracts and/or Medicare and Medicaid rules and regulations to ensure proper reimbursement/collection.

Make necessary adjustments as required by plan reimbursement.

Performs payment validation by utilizing internal and/or external resources to ensure proper reimbursement.

Reviews, research and appeal partially denied claims for reconsideration.

Responsible for contacting patients to gain additional information required to resolve an outstanding insurance balance.

Functions as resource person for departmental personnel to answer questions and assists with problem resolution.

Performs other duties as assigned.

SECURITY:
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information

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.

jjbodyshop.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jjbodyshop.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jjbodyshop.com is the ideal place to find your next job.