Manager Credit Balance & Refund Management

WHY UT SOUTHWESTERN?
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 No. 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
UT Southwestern Medical Center has an opening with the Revenue Cycle Department team for a Manager, Revenue Cycle Cash Management. The working job title is listed as Manager, Credit Balance & Refund Management. Assists the director with global oversight of the centralized revenue cycle team; represents the director while interacting with clinical department senior leadership; provides leadership, guidance and effectively manages the day-to-day operations of reimbursement policy, billing compliance, and provider education.  

Responsibilities may include but not be limited to the following\:  

• The team will consist of eighteen (18) employees\: Two (2) direct and sixteen (16) indirect 
• Determine and maintain appropriate staffing metrics and measurements to ensure workflow continuity, accuracy, and timeliness
• Analyze data and develop an overall approach for trending issues, report findings, etc. 
• Apply timely and constructive feedback
• Manage continuing education and training
• Ensure outstanding credit balances are reviewed and resolved accurately and timely

 This is a 100% work from home (WFH) position. Applicants must live within the Greater DFW area or be willing to relocate. Must be available for possible in-office meetings, training, and equipment pick-up/exchange. 

Shift\: 8am-5pm 

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include\:

• 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
• Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION

Required

• Education
  Bachelor's Degree 
   

• Experience
  7 years of progressive related healthcare experience (revenue cycle, operation experience, etc) and 
  4 years of supervisory/managerial experience 
  Will consider additional related years' experience in lieu of degree 
   

JOB DUTIES

• Manages day-to-day Revenue Accounting Operational processes for the assigned patient accounting functions, including all cash posting (debit/credit) activities on patient accounts for UT Southwestern business.
• Responsible for coaching, training, and developing subordinate staff. Assigns work, sets completion dates, reviews work and manages performance in accordance with organization policies, procedures and performance management processes.
• Contributes to the development of short and long-term organizational planning and strategy. Manages and reviews staff workload in department; develops action plan to complete work which may include\: monitoring and evaluating performance and staffing levels, requesting overtime, adding temporary help and/or new positions as needed.
• Manage material resources, hourly human resource efforts, and vendor efforts to stay within the department budget. Manage departmental budget and purchasing process. Emphasize organization of work environment for customers and data in departmental processes
• Translates high-level organizational goals to departmental and tactical initiatives. Provides ownership and leadership to drive departmental initiatives to ensure long-term operational excellence. Demonstrates continuous performance improvement in targeted areas of responsibility in alignment with the overall annual revenue cycle performance improvement targets.
• Serves as the primary liaison between Revenue Accounting Operations and internal and external customers. This includes all related vendor relationships to increase effectiveness, efficiency, and compliance with Service Level Agreements (SLAs).
• Determine and maintain appropriate staffing metrics and measurements to ensure workflow continuity, accuracy, and timeliness.
• Maintain industry KPIs and develop departmental KPIs for Revenue Accounting. Monitors the payer reimbursement behavior and payments to take advantage of opportunities and identify potential threats that could impact the revenue cycle.
• Participates in special projects and performs other duties as assigned. Participates as project leader for new software installations and process change initiatives; works with affiliated facilities and hospitals to resolve major billing issues and customer service issues.
• Writes policies and procedures in order to maintain billing and provider documentation compliance, relative to job focus. Optimize procedural and electronic solutions; reduce paper resources for each area, including education and development of corrective action plans to assist in resolving problems related to the revenue cycle.
• Analyze data and develops an overall approach for trending issues, report findings, applying timely and constructive feedback, continued education and training (as the "content expert") for revenue cycle staff, clinic staff, and billing providers.
• Directs and supports auditors assigned to complete compliance audits, as well as ad hoc audits requested by management; prepares department summaries based upon audit findings and works closely with applicable providers/staff/management for continued performance improvement.
• Attends and participates in reimbursement and compliance activities and department meetings; facilitates problem resolution sessions where multiple departments and/or clinical or business areas are involved.
• Performs other duties as assigned.

Knowledge, Skills and Abilities

• Work requires a self-starter, with ability to work well as part of a team and independently.
• Work requires ability to interact & communicate both verbally & in writing with all levels of associates, management & healthcare providers
  Work requires strong interpersonal communication, documentation skills and true "customer service" oriented work style.
• Work requires ability to work in a fast paced, production oriented environment.
• Work requires experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment.
• Work requires knowledge of insurance carrier adjudication policies and procedures.
• Work requires one to exhibit excellent work ethics and commitment to job responsibilities.
• Work requires one to possess a professional and courteous demeanor while being assertive and confident in their collection efforts.
• Work requires presence of a positive image that reflects well on the organization.
• Work requires proficient computer skills, including Microsoft Word, Excel, PowerPoint and Epic.
• Work requires proven record of identifying process improvement opportunities.
• Work requires strong knowledge of established medical necessity criteria; knowledge of ICD-9 / ICD-10 coding, CPT coding, & applicable rules & regulations affecting reimbursement for healthcare services.
• Work requires strong negotiating, analytical & organizational skills as well as the ability to be flexible with changing needs and deadlines.
• Work requires understanding of the requirements of Medicaid, Medicare and insurance billing.
• Work requires working knowledge of medical terminology.
• Working knowledge of EPIC systems preferred

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

Working Conditions

• Clinical Setting
• Office Setting

Salary Information
Salary is commensurate with education, skills, and relevant experience.

SECURITY AND EEO STATEMENT

Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
 

WHY UT SOUTHWESTERN?
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 No. 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
UT Southwestern Medical Center has an opening with the Revenue Cycle Department team for a Manager, Revenue Cycle Cash Management. The working job title is listed as Manager, Credit Balance & Refund Management. Assists the director with global oversight of the centralized revenue cycle team; represents the director while interacting with clinical department senior leadership; provides leadership, guidance and effectively manages the day-to-day operations of reimbursement policy, billing compliance, and provider education.  

Responsibilities may include but not be limited to the following\:  

• The team will consist of eighteen (18) employees\: Two (2) direct and sixteen (16) indirect 
• Determine and maintain appropriate staffing metrics and measurements to ensure workflow continuity, accuracy, and timeliness
• Analyze data and develop an overall approach for trending issues, report findings, etc. 
• Apply timely and constructive feedback
• Manage continuing education and training
• Ensure outstanding credit balances are reviewed and resolved accurately and timely

 This is a 100% work from home (WFH) position. Applicants must live within the Greater DFW area or be willing to relocate. Must be available for possible in-office meetings, training, and equipment pick-up/exchange. 

Shift\: 8am-5pm 

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include\:

• 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
• Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION

Required

• Education
  Bachelor's Degree 
   

• Experience
  7 years of progressive related healthcare experience (revenue cycle, operation experience, etc) and 
  4 years of supervisory/managerial experience 
  Will consider additional related years' experience in lieu of degree 
   

JOB DUTIES

• Manages day-to-day Revenue Accounting Operational processes for the assigned patient accounting functions, including all cash posting (debit/credit) activities on patient accounts for UT Southwestern business.
• Responsible for coaching, training, and developing subordinate staff. Assigns work, sets completion dates, reviews work and manages performance in accordance with organization policies, procedures and performance management processes.
• Contributes to the development of short and long-term organizational planning and strategy. Manages and reviews staff workload in department; develops action plan to complete work which may include\: monitoring and evaluating performance and staffing levels, requesting overtime, adding temporary help and/or new positions as needed.
• Manage material resources, hourly human resource efforts, and vendor efforts to stay within the department budget. Manage departmental budget and purchasing process. Emphasize organization of work environment for customers and data in departmental processes
• Translates high-level organizational goals to departmental and tactical initiatives. Provides ownership and leadership to drive departmental initiatives to ensure long-term operational excellence. Demonstrates continuous performance improvement in targeted areas of responsibility in alignment with the overall annual revenue cycle performance improvement targets.
• Serves as the primary liaison between Revenue Accounting Operations and internal and external customers. This includes all related vendor relationships to increase effectiveness, efficiency, and compliance with Service Level Agreements (SLAs).
• Determine and maintain appropriate staffing metrics and measurements to ensure workflow continuity, accuracy, and timeliness.
• Maintain industry KPIs and develop departmental KPIs for Revenue Accounting. Monitors the payer reimbursement behavior and payments to take advantage of opportunities and identify potential threats that could impact the revenue cycle.
• Participates in special projects and performs other duties as assigned. Participates as project leader for new software installations and process change initiatives; works with affiliated facilities and hospitals to resolve major billing issues and customer service issues.
• Writes policies and procedures in order to maintain billing and provider documentation compliance, relative to job focus. Optimize procedural and electronic solutions; reduce paper resources for each area, including education and development of corrective action plans to assist in resolving problems related to the revenue cycle.
• Analyze data and develops an overall approach for trending issues, report findings, applying timely and constructive feedback, continued education and training (as the "content expert") for revenue cycle staff, clinic staff, and billing providers.
• Directs and supports auditors assigned to complete compliance audits, as well as ad hoc audits requested by management; prepares department summaries based upon audit findings and works closely with applicable providers/staff/management for continued performance improvement.
• Attends and participates in reimbursement and compliance activities and department meetings; facilitates problem resolution sessions where multiple departments and/or clinical or business areas are involved.
• Performs other duties as assigned.

Knowledge, Skills and Abilities

• Work requires a self-starter, with ability to work well as part of a team and independently.
• Work requires ability to interact & communicate both verbally & in writing with all levels of associates, management & healthcare providers
  Work requires strong interpersonal communication, documentation skills and true "customer service" oriented work style.
• Work requires ability to work in a fast paced, production oriented environment.
• Work requires experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment.
• Work requires knowledge of insurance carrier adjudication policies and procedures.
• Work requires one to exhibit excellent work ethics and commitment to job responsibilities.
• Work requires one to possess a professional and courteous demeanor while being assertive and confident in their collection efforts.
• Work requires presence of a positive image that reflects well on the organization.
• Work requires proficient computer skills, including Microsoft Word, Excel, PowerPoint and Epic.
• Work requires proven record of identifying process improvement opportunities.
• Work requires strong knowledge of established medical necessity criteria; knowledge of ICD-9 / ICD-10 coding, CPT coding, & applicable rules & regulations affecting reimbursement for healthcare services.
• Work requires strong negotiating, analytical & organizational skills as well as the ability to be flexible with changing needs and deadlines.
• Work requires understanding of the requirements of Medicaid, Medicare and insurance billing.
• Work requires working knowledge of medical terminology.
• Working knowledge of EPIC systems preferred

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

Working Conditions

• Clinical Setting
• Office Setting

Salary Information
Salary is commensurate with education, skills, and relevant experience.

SECURITY AND EEO STATEMENT

Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.