Patient Financial Advocate MSRDP - Revenue Cycle

SUMMARY

UT Southwestern Medical Center has a new position available for the role of Patient Financial Advocate MSRDP within the Revenue Cycle Department team.

The team consists of sixteen members in total with two (2) Sr PFAs and fourteen (14) PFAs.

The ideal candidate experience may include but is not limited to the following :

• Medical billing experience
• Detail oriented
• Creative problem solver
• Good communicator to patients and teammates
• Shift : 7am-4pm (Training shift may differ slightly)
• This is a work from home position. Exact details shall be discussed as part of the interview process

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 patients and employees.

With over 20,000 employees, we are committed to continuing our growth with the best professionals in the healthcare industry.

We invite you to be a part of the UT Southwestern team where you’ll discover teamwork, professionalism, and consistent opportunities for growth.

EXPERIENCE EDUCATION :

REQUIRED :

• High school diploma or equivalent
• Plus, four (4) years directly related experience in medical billing environment
• With at least two (2) years customer service experience in evaluating customer billing inquiries
• Associates degree or two years of college is preferred

JOB DUTIES :

May perform some or all of the following :

• Assist in answering incoming patient / client calls to the Customer Service Department.
• Resolve complex account issues and escalated patient calls.
• Assist patients from the beginning of the issue to the end of the issue to ensure a resolution by all parties.
• Patient accounts assigned to this person will be their sole responsibility until completion.
• Contact or work directly with patients regarding their self-pay balances for payment or payment arrangements.
• Determine appropriate action to be taken and make independent decisions regarding adjustment and processing of open / unresolved billing issues.
• Work directly with appropriate clinic Billing Managers and Patient Assistance Office Managers to correct and resolve patient complaints.
• Perform audit of accounts to resolve discrepancies in account balances and ensure payments are in accordance with the respective contract, appropriate discounts, or applicable write-offs.
• Contact the departments when there are issues regarding the patient’s coding or service.
• Contact the patient’s insurance company if there are any issues regarding benefits.
• Contact the Follow Up department if there is a question regarding a denial or if an appeal is needed.
• Contact the collection agencies if an account needs to be recalled from the agency or if there is any issue regarding payments.
• Contact the Self-Pay or Insurance Posting Team(s) if there is any issue with posting.
• Contact the Refund Team to ensure the patient and / or insurance refund is completed and sent out.
• Work closely with Management to help identify and report trends pertaining to the Customer Service Work Queues. Make recommendations regarding workflows and procedures.
• Stay abreast of the latest developments and trends in medical billing, customer service and collections. Attend seminars, webinars, and workshops and actively participates in Occupational Training and Development and Compliance educational activities.
• Maintain knowledge of all university applicable rules, regulations, policies, guidelines that impact Billing Operations;

seeks advice and guidance as necessary to ensure proper understanding of job functions.

Identify ways to improve work processes and provide recommendations for new or revised procedures, to enhance the collection and customer service process;

implements and monitors results as appropriate in support of the overall goals of the department.

• Duties performed may include one or more of the following core functions : (a) Directly interacting with or caring for patients;
• b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing, or similarly affecting patient records (including patient financial records);

or (d) Regularly maintaining, modifying, releasing, or similarly affecting human-subjects research records.

Performs other duties as assigned.

SECURITY :

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

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.