Shift: 7am-4pm or 8am-5pm. Overtime is a strong possibility and will be discussed as part of the interview process.

Work from home (WFH): This is a work from home position. The applicant must live within Texas, the DFW area (within 50 miles) preferred. Additional details related to this shall be discussed as part of the interview process.

The Revenue Cycle Department has a new opportunity available for the role of Transplant Specialist. Currently there are four team members who report to the manager. The ideal candidate has experience in transplant programs including contracting, provider relations, or transplant billing and collections. Willing to train the right candidate if you have like experience but in a different area such as medical contracting, provider relations, or billing/collections.

The daily responsibilities in this roll will include but not be limited to the following:

• Processing patient referrals/updates within EPIC registration/bundled episodes and transplant access database.
• Reviewing charges in EPIC charge review WQS to ensure billing on correct guarantor account type/coverage.
• Experience working with transplant programs including, but not limited to transplant contracting, transplant provider relations, transplant billing and collections, etc.
• Must be able to multi-task and pivot across duties as needed.
• Interact with a variety of internal and external customers i.e., clinics, hospitals programs, billing/collections teams for physicians, payers, transplant network, etc.
• Processing case rate allocations for distribution across physicians' charges which includes:
• Auditing of claims processing/payments.
• Responding to billing/follow-up inquiries when payment issues/questions arise.
• All duties require understanding, interpretation, and application of contract parameters to complete.

• Please review the section entitled experience/education and focus on the job requirements.
• Make sure you include the experience listed under the requirements section on your application.

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.

• Bachelor's degree in Business Administration, Hospital Administration, or related field preferred.
• A minimum of five (5) years' experience in the health care industry to include at least three (3) years in managed care contracting/provider relations or revenue cycle.
• May consider additional years of healthcare experience in lieu of education.
• Transplant program experience preferred.

• Manages and maintains transplant patients' referrals and updates throughout the transplant process via internal Access database and Epic Resolute including insurance coverage and charge review for proper billing.
• May include coordination of case rate distributions for patients covered under case rate or global payments.
• Conducts payment audits on transplant patient accounts working closely with Revenue Cycle and +Revenue Accounting.
• Intermediary between Revenue Cycle and Transplant Network.
• Performs reporting functions and data analysis as needed.
• Performs other duties as assigned.

• Work requires the ability to analyze contract and financial data, evaluate and interpret contact language and parameters.
• Work requires the ability to establish and maintain effective working relationships with a variety of internal and external constituencies.
• Work requires proficiency in Microsoft Suite, CPT Codes, ICD-10, and Medical Terminology.
• Work requires knowledge of HIPAA and patient confidentiality regulations.
• Work requires strong verbal and written communication skills.
• Work requires attention to detail with a high degree of accuracy.
• Work requires being effectively able to take initiative, multi-task competing priorities and remain focused/organized in a fast-paced environment with limited supervision.
• Work requires having a broad knowledge of the managed health care environment including fee schedules, third party reimbursement, and the regulatory and legislative environment.

Work is performed in a general office environment.

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.