Patient Financial Services Representative II

UT Southwestern Medical Center
Dallas, TX
Category Healthcare
Job Description
Role Overview

Patient Financial Services Representative II will analyze payer underpayments, variances, and denials, and escalate trends, make comprehensive suggestions, and file professional appeals. The role requires 5 years of hospital or medical billing experience and a high school diploma. The position is a hybrid, with a flex schedule, and the candidate must reside in the Dallas/Fort Worth metroplex.

What You Will Do

Analyze payer underpayments, variances, and denials, and escalate trends, make comprehensive suggestions, and file professional appeals. Responsible for outbound calls and/or status inquiries via payer's website validating receipt of medical claims and adjudication status within established timeframes.

Why It Might Be a Fit

The ideal candidate will have 5 years of hospital or medical billing experience, a high school diploma, and a proven ability to work within client-based, research, and UTSW special arrangements. The role offers a competitive benefits package, including PPO medical plan, paid Time Off, Retirement Programs, and Paid Parental Leave Benefit.

Requirements

  • High School Diploma
  • 5 years hospital or medical billing experience
  • Proven experience in hospital claims submission to commercial payers, including both electronic and/or paper processes, as well as involvement in collections and follow-up efforts

Benefits

  • PPO medical plan
  • Paid Time Off
  • 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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