Senior Reimbursement Specialist - Surgery
About The Position
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! JOB SUMMARY Works under general supervision to provide policy analysis and recommendations to management related to reimbursement projects and functions.
Requirements
- High School Diploma or GED
- 6 years of progressively responsible experience in medical insurance, medical billing or medical reimbursement.
Nice To Haves
- (CPC) CERT PROFESSIONAL CODER Upon Hire or
- Advanced Records Technician (ART), Upon Hire or
- (RRA) REGISTERED RECORDS ADMIN Upon Hire
Responsibilities
- Performs complex policy analysis for managed care issues by reviewing contracts, writing clause revisions, making recommendations for reimbursement policy changes, reviewing reports and financial data, and analyzing fee schedules, encounter forms, diagnosis, and procedure codes; ensures contracts reflect appropriate business decisions.
- Ensures projects related to reimbursement issues are completed on time and changes are implemented appropriately.
- Conducts meetings, organizes activities, reviews data analyses and reports, and creates reimbursement policies and procedures.
- Documents findings of inquiry and opinion letters. Maintains contract files, and files for research documents.
- Provides supervision to staff of lower grade in reimbursement operations.
- Performs other duties as assigned.
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Industry
Educational Services
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
