Manager, Credit Balance & Refund Management
Careersection
- Location
- Texas-Dallas-5323 Harry Hines Blvd
- Employment type
- full_time
- Source
- taleo
%3Cp%3E%3Cstrong%3EWHY UT SOUTHWESTERN?%3C/strong%3E%3Cbr%3EWith 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 No. 1 hospital in Dallas-Fort Worth according to %3Ci%3EU.S. News %26amp; World Report%3C/i%3E, 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%27ll discover a culture of teamwork, professionalism, and a rewarding career!%26nbsp;%3Cbr%3E%3Cbr%3E%3Cstrong%3EJOB SUMMARY%3C/strong%3E%3Cbr%3EUT Southwestern Medical Center has an opening with the Revenue Cycle Department team for a Manager, Revenue Cycle Cash Management. The working job title is listed as Manager, Credit Balance %26amp; Refund Management. Assists the director with global oversight of the centralized revenue cycle team; represents the director while interacting with clinical department senior leadership; provides leadership, guidance and effectively manages the day-to-day operations of reimbursement policy, billing compliance, and provider education. %26nbsp;%3C/p%3E%3Cp style=%22-webkit-text-stroke-width%5C:0px;background-color%5C:rgb(255, 255, 255);color%5C:rgb(0, 0, 0);font-family%5C:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size%5C:13.02px;font-style%5C:normal;font-variant-caps%5C:normal;font-variant-ligatures%5C:normal;font-weight%5C:400;letter-spacing%5C:normal;margin%5C:12pt 0in;orphans%5C:2;text-align%5C:start;text-decoration-color%5C:initial;text-decoration-style%5C:initial;text-decoration-thickness%5C:initial;text-indent%5C:0px;text-transform%5C:none;white-space%5C:normal;widows%5C:2;word-spacing%5C:0px;%22%3E%3Cstrong%3EResponsibilities may include but not be limited to the following%5C: %26nbsp;%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli class=%22MsoNormal%22 style=%22line-height%5C:1.25;%22%3E%3Cspan%3EThe team will consist of eighteen (18) employees%5C: Two (2) direct and sixteen (16) indirect%26nbsp;%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22line-height%5C:1.25;%22%3E%3Cspan%3EDetermine and maintain appropriate staffing metrics and measurements to ensure workflow continuity, accuracy, and timeliness%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22line-height%5C:1.25;%22%3E%3Cspan%3EAnalyze data and develop%26nbsp;an overall approach for trending issues, report findings, etc.%26nbsp;%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22line-height%5C:1.25;%22%3E%3Cspan%3EApply timely and constructive feedback%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22line-height%5C:1.25;%22%3E%3Cspan%3EManage continuing education and training%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22line-height%5C:1.25;%22%3E%3Cspan%3EEnsure outstanding credit balances are reviewed and resolved accurately and timely%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp style=%22-webkit-text-stroke-width%5C:0px;background-color%5C:rgb(255, 255, 255);color%5C:rgb(0, 0, 0);font-family%5C:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size%5C:13.02px;font-style%5C:normal;font-variant-caps%5C:normal;font-variant-ligatures%5C:normal;font-weight%5C:400;letter-spacing%5C:normal;margin%5C:12pt 0in;orphans%5C:2;text-align%5C:start;text-decoration-color%5C:initial;text-decoration-style%5C:initial;text-decoration-thickness%5C:initial;text-indent%5C:0px;text-transform%5C:none;white-space%5C:normal;widows%5C:2;word-spacing%5C:0px;%22%3E%26nbsp;This is a 100% work from home (WFH) position. Applicants must live within the Greater DFW area or be willing to relocate. Must be available for possible in-office meetings, training, and equipment pick-up/exchange.%26nbsp;%3C/p%3E%3Cp style=%22-webkit-text-stroke-width%5C:0px;background-color%5C:rgb(255, 255, 255);color%5C:rgb(0, 0, 0);font-family%5C:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size%5C:13.02px;font-style%5C:normal;font-variant-caps%5C:normal;font-variant-ligatures%5C:normal;font-weight%5C:400;letter-spacing%5C:normal;margin%5C:12pt 0in;orphans%5C:2;text-align%5C:start;text-decoration-color%5C:initial;text-decoration-style%5C:initial;text-decoration-thickness%5C:initial;text-indent%5C:0px;text-transform%5C:none;white-space%5C:normal;widows%5C:2;word-spacing%5C:0px;%22%3EShift%5C: 8am-5pm%26nbsp;%3C/p%3E%3Cp%3E%3Cstrong%3EBENEFITS%3C/strong%3E%3Cbr%3EUT 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%5C:%3C/p%3E%3Cul%3E%3Cli%3EPPO medical plan, available day one at no cost for full-time employee-only coverage%3C/li%3E%3Cli%3E100% coverage for preventive healthcare-no copay%3C/li%3E%3Cli%3EPaid Time Off, available day one%3C/li%3E%3Cli%3ERetirement Programs through the Teacher Retirement System of Texas (TRS)%3C/li%3E%3Cli%3EPaid Parental Leave Benefit%3C/li%3E%3Cli%3EWellness programs%3C/li%3E%3Cli%3ETuition Reimbursement%3C/li%3E%3Cli%3EPublic Service Loan Forgiveness (PSLF) Qualified Employer%3C/li%3E%3Cli%3E%3Ca href=%22http%5C://jobs.utsouthwestern.edu/
benefits
/#top%22 target=%22_blank%22%3ELearn more about these and other UTSW employee
benefits
!%3C/a%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EEXPERIENCE AND EDUCATION%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3ERequired%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cstrong%3EEducation%3C/strong%3E%3Cbr%3EBachelor%27s Degree%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3E%3Cstrong%3EExperience%3C/strong%3E%3Cbr%3E7 years of progressive related healthcare experience (revenue cycle, operation experience, etc) and%26nbsp;%3Cbr%3E4 years of supervisory/managerial experience%26nbsp;%3Cbr%3EWill consider additional related years%27 experience in lieu of degree%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EJOB DUTIES%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3EManages day-to-day Revenue Accounting Operational processes for the assigned patient accounting functions, including all cash posting (debit/credit) activities on patient accounts for UT Southwestern business.%3C/li%3E%3Cli%3EResponsible for coaching, training, and developing subordinate staff. Assigns work, sets completion dates, reviews work and manages performance in accordance with organization policies, procedures and performance management processes.%3C/li%3E%3Cli%3EContributes to the development of short and long-term organizational planning and strategy. Manages and reviews staff workload in department; develops action plan to complete work which may include%5C: monitoring and evaluating performance and staffing levels, requesting overtime, adding temporary help and/or new positions as needed.%3C/li%3E%3Cli%3EManage material resources, hourly human resource efforts, and vendor efforts to stay within the department budget. Manage departmental budget and purchasing process. Emphasize organization of work environment for customers and data in departmental processes%3C/li%3E%3Cli%3ETranslates high-level organizational goals to departmental and tactical initiatives. Provides ownership and leadership to drive departmental initiatives to ensure long-term operational excellence. Demonstrates continuous performance improvement in targeted areas of responsibility in alignment with the overall annual revenue cycle performance improvement targets.%3C/li%3E%3Cli%3EServes as the primary liaison between Revenue Accounting Operations and internal and external customers. This includes all related vendor relationships to increase effectiveness, efficiency, and compliance with Service Level Agreements (SLAs).%3C/li%3E%3Cli%3EDetermine and maintain appropriate staffing metrics and measurements to ensure workflow continuity, accuracy, and timeliness.%3C/li%3E%3Cli%3EMaintain industry KPIs and develop departmental KPIs for Revenue Accounting. Monitors the payer reimbursement behavior and payments to take advantage of opportunities and identify potential threats that could impact the revenue cycle.%3C/li%3E%3Cli%3EParticipates in special projects and performs other duties as assigned. Participates as project leader for new software installations and process change initiatives; works with affiliated facilities and hospitals to resolve major billing issues and customer service issues.%3C/li%3E%3Cli%3EWrites policies and procedures in order to maintain billing and provider documentation compliance, relative to job focus. Optimize procedural and electronic solutions; reduce paper resources for each area, including education and development of corrective action plans to assist in resolving problems related to the revenue cycle.%3C/li%3E%3Cli%3EAnalyze data and develops an overall approach for trending issues, report findings, applying timely and constructive feedback, continued education and training (as the %22content expert%22) for revenue cycle staff, clinic staff, and billing providers.%3C/li%3E%3Cli%3EDirects and supports auditors assigned to complete compliance audits, as well as ad hoc audits requested by management; prepares department summaries based upon audit findings and works closely with applicable providers/staff/management for continued performance improvement.%3C/li%3E%3Cli%3EAttends and participates in reimbursement and compliance activities and department meetings; facilitates problem resolution sessions where multiple departments and/or clinical or business areas are involved.%3C/li%3E%3Cli%3EPerforms other duties as assigned.%3C/li%3E%3C/ul%3E%3Cp style=%22font-size%5C:9pt;margin-bottom%5C:0pt;margin-top%5C:0pt;%22%3E%3Cspan style=%22font-family%5C:Verdana;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp style=%22font-size%5C:9pt;margin-bottom%5C:0pt;margin-top%5C:0pt;%22%3E%3Cspan style=%22font-family%5C:Verdana;%22%3E%3Cstrong%3EKnowledge, Skills and Abilities%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3EWork requires a self-starter, with ability to work well as part of a team and independently.%3C/li%3E%3Cli%3EWork requires ability to interact %26amp; communicate both verbally %26amp; in writing with all levels of associates, management %26amp; healthcare providers%3Cbr%3EWork requires strong interpersonal communication, documentation skills and true %22customer service%22 oriented work style.%3C/li%3E%3Cli%3EWork requires ability to work in a fast paced, production oriented environment.%3C/li%3E%3Cli%3EWork requires experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment.%3C/li%3E%3Cli%3EWork requires knowledge of insurance carrier adjudication policies and procedures.%3C/li%3E%3Cli%3EWork requires one to exhibit excellent work ethics and commitment to job
responsibilities
.%3C/li%3E%3Cli%3EWork requires one to possess a professional and courteous demeanor while being assertive and confident in their collection efforts.%3C/li%3E%3Cli%3EWork requires presence of a positive image that reflects well on the organization.%3C/li%3E%3Cli%3EWork requires proficient computer skills, including Microsoft Word, Excel, PowerPoint and Epic.%3C/li%3E%3Cli%3EWork requires proven record of identifying process improvement opportunities.%3C/li%3E%3Cli%3EWork requires strong knowledge of established medical necessity criteria; knowledge of ICD-9 / ICD-10 coding, CPT coding, %26amp; applicable rules %26amp; regulations affecting reimbursement for healthcare services.%3C/li%3E%3Cli%3EWork requires strong negotiating, analytical %26amp; organizational skills as well as the ability to be flexible with changing needs and deadlines.%3C/li%3E%3Cli%3EWork requires understanding of the requirements of Medicaid, Medicare and insurance billing.%3C/li%3E%3Cli%3EWork requires working knowledge of medical terminology.%3C/li%3E%3Cli%3EWorking knowledge of EPIC systems preferred%3C/li%3E%3C/ul%3E%3Cp style=%22font-size%5C:9pt;margin-bottom%5C:0pt;margin-top%5C:0pt;%22%3E%3Cspan style=%22font-family%5C:Verdana;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp style=%22font-size%5C:9pt;margin-bottom%5C:0pt;margin-top%5C:0pt;%22%3E%3Cspan style=%22font-family%5C:Verdana;%22%3E%3Cstrong%3EPHYSICAL REQUIREMENTS/WORKING CONDITIONS%3C/strong%3E%3C/span%3E%3C/p%3E%3Cp style=%22font-size%5C:9pt;margin-bottom%5C:0pt;margin-top%5C:0pt;%22%3E%3Cspan style=%22font-family%5C:Verdana;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp style=%22font-size%5C:9pt;margin-bottom%5C:0pt;margin-top%5C:0pt;%22%3E%3Cspan style=%22font-family%5C:Verdana;%22%3E%3Cstrong%3EWorking Conditions%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3EClinical Setting%3C/li%3E%3Cli%3EOffice Setting%3C/li%3E%3C/ul%3E%3Cp style=%22font-size%5C:9pt;margin-bottom%5C:0pt;margin-top%5C:0pt;%22%3E%3Cspan style=%22font-family%5C:Verdana;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp%3E%3Cstrong%3ESalary Information%3C/strong%3E%3Cbr%3ESalary is commensurate with education, skills, and relevant experience.%3Cbr%3E%3Cbr%3E%3Cstrong%3ESECURITY AND EEO STATEMENT%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3ESecurity%3C/strong%3E%3Cbr%3EThis position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.%3Cbr%3E%3Cbr%3E%3Cstrong%3EEEO%3C/strong%3E%3Cbr%3EUT 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.%3Cbr%3E%26nbsp;%3C/p%3E