Manager, Credit Balance & Refund Management

UT Southwestern Medical Center•Dallas, TX

1d•Remote

About The Position

UT Southwestern Medical Center is hiring a Manager, Credit Balance & Refund Management for its Revenue Cycle Department. The role provides global oversight of a centralized revenue cycle team and assists the director. It represents the director in interactions with senior clinical department leadership and leads day-to-day operations related to reimbursement policy, billing compliance, and provider education. The team consists of 18 employees: two direct reports and 16 indirect reports. This position manages Revenue Accounting operational processes for assigned patient-accounting functions, including cash posting activities. It oversees staffing, workflow continuity, accuracy, timeliness, training, performance, budgets, vendor relationships, compliance, audits, and process improvement. The manager analyzes data and trends, develops and monitors performance measures, resolves credit balances, and supports organizational planning and departmental initiatives. This is a 100% work-from-home position. Applicants must live in the Greater DFW area or be willing to relocate, and must be available for possible in-office meetings, training, and equipment pickup or exchange. The stated shift is 8 a.m.–5 p.m. Salary is commensurate with education, skills, and relevant experience.

Requirements

Bachelor’s degree; additional related years of experience may be considered in lieu of a degree.
Seven years of progressive related healthcare experience, such as revenue cycle or operations experience.
Four years of supervisory or managerial experience.
Experience in medical billing, accounts receivable, and/or collections in a healthcare or insurance environment.
Knowledge of insurance carrier adjudication policies and procedures.
Proficient computer skills, including Microsoft Word, Excel, PowerPoint, and Epic.
Strong knowledge of medical necessity criteria; ICD-9/ICD-10 and CPT coding; and applicable rules and regulations affecting healthcare reimbursement.
Understanding of Medicaid, Medicare, and insurance billing requirements.
Working knowledge of medical terminology.
Ability to work independently and as part of a team in a fast-paced, production-oriented environment.
Strong verbal and written communication, interpersonal, documentation, customer service, negotiation, analytical, and organizational skills.
Ability to interact and communicate with associates, management, and healthcare providers at all levels.
Ability to adapt to changing needs and deadlines.
Professional, courteous, assertive, and confident demeanor, with strong work ethics and commitment to job responsibilities.
Proven record of identifying process-improvement opportunities.

Nice To Haves

Working knowledge of EPIC systems.

Responsibilities

Manage day-to-day Revenue Accounting operational processes for assigned patient-accounting functions, including cash posting activities on patient accounts.
Ensure outstanding credit balances are reviewed and resolved accurately and in a timely manner.
Set and maintain staffing metrics and measurements to ensure workflow continuity, accuracy, and timeliness.
Coach, train, and develop subordinate staff; assign work, set completion dates, review work, and manage performance.
Manage staff workloads and develop action plans, including monitoring performance and staffing levels and requesting overtime, temporary help, or new positions as needed.
Contribute to short- and long-term organizational planning and strategy, translating organizational goals into departmental initiatives.
Manage departmental budgets, purchasing, material resources, hourly human-resource efforts, and vendor efforts.
Lead departmental initiatives and continuous performance improvement in alignment with revenue cycle targets.
Serve as the primary liaison between Revenue Accounting Operations and internal and external customers, including vendors, to improve effectiveness, efficiency, and compliance with service-level agreements.
Maintain industry key performance indicators and develop departmental KPIs; monitor payer reimbursement behavior and payments to identify opportunities and potential threats.
Participate in special projects and lead new software installations and process-change initiatives; work with affiliated facilities and hospitals to resolve billing and customer service issues.
Write policies and procedures to support billing and provider-documentation compliance; optimize procedural and electronic solutions and develop corrective action plans.
Analyze data, identify and trend issues, report findings, and provide timely, constructive feedback and continuing education and training as a content expert.
Direct and support compliance auditors, including ad hoc audits; prepare summaries of audit findings and work with providers, staff, and management on performance improvement.
Attend and participate in reimbursement, compliance, and department meetings; facilitate resolution sessions involving multiple departments or clinical and business areas.
Perform other duties as assigned.

Benefits

PPO medical plan, available on day one at no cost for full-time employee-only coverage.
100% coverage for preventive healthcare with no copay.
Paid time off available on 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.
On-site childcare.
Paid holidays.
Merit increases.