Credit A/R Specialist

UT Southwestern Medical Center • Dallas, TX

4h • Remote

About The Position

The Cash Management Division of the Revenue Cycle Department team has a new opportunity for a Credit A/R Specialist AKA Account Adjuster I. The duties for this position will include but not limited to the following:
Researches and resolves credit balance accounts resulting from payment posting, charge entry, contractual adjustments, and overpayments.
Analyzes all payer underpayments, variances and denials.
Follow up with various payers to notify of overpayment to initiate payer refund/recoupment.
Shift: 8-hour flex. Start time between 0600-0900, Monday through Friday.
WFH: Applicants will be able to work from home. Applicants must live within the Greater DFW area. Additional details shall be discussed as part of the interview process.

Requirements

• High School Diploma
• 2 years experience performing insurance collections or insurance payment posting.

Nice To Haves

• At least six months related work experience performing appeals and managed care contract understanding/interpretation.

Responsibilities

• Reviews patient accounts for incorrect posting which may include contacting insurance companies, patients and researching insurance payments to identify and correct posting errors, reviewing credit reports and age reports to identify posting problems.
• Validate and issue refunds to patients and third party carriers for overpayment or duplicate payment, according to state regulations and contractual obligations.
• Identifies and resolves credits posted to patient accounts; corrects overpayments or distributing funds according to UT Southwestern policy.
• Batches all paperwork and balances all batches, daily.
• Appropriately transfer payments between invoices and/or accounts.
• Performs other adjustments or corrections to patient accounts as required.
• Communicate, approve, and reject refund requests to payers and third party carriers, via phone call and written correspondence.
• 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, modifying, releasing or similarly affecting human-subjects research records.
• Performs other related duties as required.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100%25 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED