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!
Shift/Schedule
7-4:30pm
EXPERIENCE AND EDUCATION
Required
- Education
High School Diploma
- Experience
Excellent communication skills, problem solving ability, medical terminology, knowledge/experience with solid organ and bone marrow transplant billing processes, financial data analysis, computer skills (MS Office and MS Access a must)
Preferred
- Education
Some college preferred
- Experience
3 years of experience in healthcare, billing, follow up, or similar duties
Transplant experience/exposure a plus.
Knowledge of managed care contracts as related to transplant reimbursement
JOB DUTIES
- Follows transplant patient process through all relevant phases while maintaining an Access database of all pertinent information used for payment tracking, UNOS_reports, consulting pool and physician payments.
- Deliver to Patient Accounting all claims required to document all facility and physician services performed during any global period.
- Continually follow up with physician offices to ensure all provider charges have been captured and subsequently linked/sent to the Transplant Center for processing.
- Work with Patient Accounting to ensure that all transplant claims that are being held have been released for payment from the system.
- Ensure all invoices have been received, and subsequently forwarded to payors, for organ acquisition/harvesting, blood products, remaining pass-through items.
- Audit all payments due contracted and non-contracted in staffing physicians by phase. Tracking reimbursement of living donor charges if reimbursed separately. Work with finance to ensure that funds due non-contracted physicians are paid directly from consulting pool.
- Prepare/distribute monthly/quarterly/yearly reports regarding transplant cases to supervisor and transplant 5% chairpersons comparing: Total charges, length of stay by type, expected reimbursement, variances and comments. Aid in resolving patient specific financial issues by working with Financial Coordinators, Customer Service, Payor Relations, Patient Accounting, Patients and Payors.
- Oversee protocol to account for costs and evaluation of Medicare primary kidney transplant recipients - for reporting on Medicare cost report.
- 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.
