Payment Application, Lead

UT Southwestern Medical Center • Dallas, TX

1d

About The Position

Provides leadership and technical skills to the Payment Posting Department and is responsible for monitoring production and ensuring quality control and resolves complex problems. This position must ascertain that the payment posters are responsible for the accuracy of facts or figures posted to patients' account, company, and suspense/or pending accounts as well as responsible for research and investigation when posting payments for patients, insurance companies, government insurance, and other third-party carriers.

Requirements

• High School Diploma or equivalent.
• Associate's Degree or Two Years College with credit hours in Accounting, Business Administration, Health Care Administration, or other related field.
• 6 years hospital/medical office payment posting or bookkeeping experience with High School Diploma.
• 4 years hospital/medical office payment posting or bookkeeping experience with bachelor's degree.

Responsibilities

• Provides orientation and training for staff members on procedures, system functions, and activities required to perform job.
• Plans daily workflow and work distribution; compiles and monitors daily production reports for work group; monitors performance standards; advises supervisor of performance deficiencies and advises supervisor of all system and procedural issues which require analysis and resolution; makes recommendations for re-training of employees.
• Provides input to Specialist's performance appraisals and personnel issues.
• Resolves complex problems and questions by contacting insurance companies, places of employment, federal and state agencies, or patients. This includes, but is not limited to, researching and resolving special payment assignments as requested.
• Works on special projects relating to issues specific to the area of assignment; makes recommendations for changes in procedure to increase productivity.
• Posts payments received from insurance companies and patients to invoices Responsible for electronic processing relating to Medicaid and Medicare, as well as other carriers converted from manual processing. Updates the Financial Status Classification (FMC) of a patients; prepares journal vouchers; generates invoices.
• Monitors ongoing quality control which includes researching, tracking documenting and reporting on pertinent issues.
• Monitor productivity and workflow relative to departmental goals. Escalate any potential lags and delays towards reaching goals. Assist supervisor to coordinate tasks and implement workflow to keep KPIs and metrics in good standings.
• 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 duties as assigned.

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: Mid Level
• Education Level: High school or GED