UT Southwestern Medical Center logo
UT Southwestern Medical Center

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.

Account Auditor

AuditorAuditorFull TimeRemoteMid LevelTeam 5,001-10,000

Location

United States

Posted

2 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Account Auditor

UT Southwestern Medical Center

Role Description Researches and resolves credit balance accounts resulting from errors in payment posting, charge entry, contractual adjustments, and overpayments. - Analyze all payer underpayments, variances and denials. - Resolves all insurance companies refund request letters received. - Work From Home (WFH): This is a work from home position. However, candidates must live in the Greater DFW area. - Shift: 8-hour days flex shift, Monday through Friday. Qualifications - High School Diploma. - 5 years' experience performing follow-up/collections, payment posting, appeals and managed care contract understanding/interpretation. - May consider education in lieu of experience. - Preferred: 2 years related work experience performing appeals and managed care contract understanding/interpretation. Requirements - Reviews patient accounts for incorrect posting and provide orientation and training for staff to contact insurance companies, patients and research insurance payments to identify and correct posting errors. - Validate and issue refunds to patients and third-party carriers for overpayment or duplicate payment, according to state regulations and contractual obligations. - Analyze payer underpayments, variances and denials. Escalate trends, make comprehensive suggestions and file professional appeals according to our contractual agreements and UT Southwestern policy. - Identifies and denies any refund request letters that are past the insurance refund deadline. - Appropriately transfer payments between invoices and/or accounts. - Communicate, approve, and reject refund requests to payers and third-party carriers, via phone call and written correspondence. - Verifies insurance is correct, update insurance demographics, rebill claims and perform appeals if applicable. - Duties performed may include one or more of the following core functions: - Directly interacting with or caring for patients; - Directly interacting with or caring for human-subjects research participants; - Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); - Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records. - Performs other related duties as required. 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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