Patient Financial Services Rep I - Clinic, Adult Urology

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
Position will provide support to patients with financial resources and assistance. 

 

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!

Work Schedule: Clinic hours are Monday through Friday, 8:00 a.m. to 5:00 p.m. This is a hybrid position, with the specific schedule and on‑site/remote expectations to be discussed during the interview process.

EXPERIENCE AND EDUCATION

Required

• Education
  High School Diploma and 
   

• Experience
  2 years hospital or medical billing experience. 
   

Preferred

• Education
  Bachelor's Degree 
   

JOB DUTIES

• Ensure all claims are billed and received by the payers for proper adjudication. This includes timely processing of allocated volume of accounts, based on established production guidelines and time parameters provided for workflow.
• Responsible for outbound calls and/or status inquiries via payers website validating receipt of medical claims and adjudication status within established timeframes. Display competent ability to access, navigate, and manage account information through phone calls and payer websites.
• Work any edits and denials in allocated workflow to achieve proper adjudication to payment. This includes but is not limited to verify insurance is correct, update insurance demographics, rebill claims not received, document the status of work performed, follow-up on outstanding adjudication items according to departmental guidelines, and is also responsible for billing secondary/tertiary claims along with providing supporting documentation to payers for additional payment.
• Documents all work and calls performed, in accordance to policy. This includes complete contact information, good grammar, and expected outcomes.
• Obtain primary and/or secondary EOB and claims to bill next responsible payer, along with utilizing various internal resources to obtain medical records to respond to requests from payers upon request.
• 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,