Transplant Specialist, Revenue Cycle

%3Cp%3E%3Cstrong%3EWHY UT SOUTHWESTERN?%3C/strong%3E%3Cbr%3EWith 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 %3Ca href=%22https://www.utsouthwestern.edu/newsroom/articles/year-2022/july-us-news-best-hospital.html%22 target=%22_blank%22%3EU.S. News %26amp; World Report%3C/a%3E, 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%27ll discover a culture of teamwork, professionalism, and a rewarding career!%26nbsp;%3Cbr%3E%3Cbr%3E%3Cstrong%3EJOB SUMMARY%3C/strong%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3EThe Revenue Cycle Department has a new opportunity available for the role of Transplant Specialist. Currently there are five team members who report to the supervisor/manager. This position works under general supervision to handle contracting and operational functions for transplant contracts. The daily responsibilities in this role will include, but not be limited, to the following:%3C/p%3E%3Cp class=%22MsoNormal%22%3EOverseeing and completing all processes related to transplant case rate allocations including reporting functions, charge analysis with contract review, application of Medicare formula for allocation development, check requests for community providers and coordinating with hospital and physician follow up teams.%3C/p%3E%3Cul%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%26nbsp; %26nbsp; All duties require understanding, interpretation, and application of contract parameters to complete.%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%26nbsp;%26nbsp;%26nbsp;%26nbsp;Reviewing patient referrals/updates within EPIC registration/bundled episodes and transplant access database.%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%26nbsp;%26nbsp;%26nbsp;%26nbsp;Reviewing charges in EPIC to ensure billing on correct guarantor account type/coverage.%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%26nbsp;%26nbsp;%26nbsp;%26nbsp;Experience working with transplant programs including, but not limited to transplant contracting, transplant provider relations, transplant billing, and collections, etc.%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%26nbsp;%26nbsp;%26nbsp;%26nbsp;Must be able to multi-task and pivot across duties as needed.%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%26nbsp;%26nbsp;%26nbsp;%26nbsp;Interact with a variety of internal and external customers i.e., clinics, hospitals programs, billing/collections teams for physicians, payers, transplant network, etc.%3C/p%3E%3C/li%3E%3C/ul%3E%3Cp%3EShift: 7am-4pm or 8am-5pm%3C/p%3E%3Cp%3EWork from home (WFH): This is a WFH position. The applicant must live within the state of Texas, the DFW area (within 50 miles) preferred. Additional details related to this shall be discussed as part of the interview process.%26nbsp;%3C/p%3E%3Cp%3E%3Cstrong%3EBENEFITS%3C/strong%3E%3Cbr%3EUT 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:%3C/p%3E%3Cul%3E%3Cli%3EPPO medical plan, available day one at no cost for full-time employee-only coverage%3C/li%3E%3Cli%3E100% coverage for preventive healthcare-no copay%3C/li%3E%3Cli%3EPaid Time Off, available day one%3C/li%3E%3Cli%3ERetirement Programs through the Teacher Retirement System of Texas (TRS)%3C/li%3E%3Cli%3EPaid Parental Leave Benefit%3C/li%3E%3Cli%3EWellness programs%3C/li%3E%3Cli%3ETuition Reimbursement%3C/li%3E%3Cli%3EPublic Service Loan Forgiveness (PSLF) Qualified Employer%3C/li%3E%3Cli%3E%3Ca href=%22http://jobs.utsouthwestern.edu/benefits/#top%22 target=%22_blank%22%3ELearn more about these and other UTSW employee benefits!%3C/a%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cbr%3E%3Cstrong%3EEXPERIENCE AND EDUCATION%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3ERequired%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cstrong%3EExperience%3C/strong%3E%3Cbr%3E5 years experience in the health care industry to include at least three (3) years in managed care contracting/provider relations or revenue cycle. and%26nbsp;%3Cbr%3EMay consider additional years of healthcare experience in lieu of education.%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EPreferred%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cstrong%3EEducation%3C/strong%3E%3Cbr%3EBachelor%27s degree in business administration, Hospital Administration, or related field.%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3E%3Cstrong%3EExperience%3C/strong%3E%3Cbr%3ETransplant program experience%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EJOB DUTIES%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3EManages and maintains transplant patients%27 referrals and updates throughout the transplant process via internal Access database and Epic Resolute including insurance coverage and charge review for proper billing.%3C/li%3E%3Cli%3EMay include coordination of case rate distributions for patients covered under case rate or global payments.%3C/li%3E%3Cli%3EConducts payment audits on transplant patient accounts working closely with Revenue Cycle and +Revenue Accounting.%3C/li%3E%3Cli%3EIntermediary between Revenue Cycle and Transplant Network.%3C/li%3E%3Cli%3EPerforms reporting functions and data analysis as needed.%3C/li%3E%3Cli%3EPerforms other duties as assigned.%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3ESECURITY AND EEO STATEMENT%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3ESecurity%3C/strong%3E%3Cbr%3EThis position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.%3Cbr%3E%3Cbr%3E%3Cstrong%3EEEO%3C/strong%3E%3Cbr%3EUT 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.%3Cbr%3E%26nbsp;%3C/p%3E