Patient Financial Services Rep II

About 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 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. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. 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 Learn more about these and other UTSW employee benefits! Work Schedule Monday–Friday, flex schedule with shift beginning between 6 am–9 am. This is a hybrid position. The candidate must reside in the Dallas/Fort Worth metroplex. Qualifications Required: Education: High School Diploma Experience: 5 years of hospital or medical billing experience Preferred: Education: Bachelor’s Degree Job Duties Analyze payer underpayments, variances, and denials. Escalate trends, make comprehensive suggestions, and file professional appeals according to contractual agreements and UT Southwestern policy. This includes timely processing of allocated volume of accounts based on established production guidelines and time parameters provided for workflow. Responsible for outbound calls and/or status inquiries via payer’s website, validating receipt of medical claims and adjudication status within established timeframes. Demonstrate competence in accessing, navigating, and managing account information through phone calls and payer websites. Document all work and calls performed, in accordance with policy, including complete contact information, good grammar, and expected outcomes. Display competency and the ability to work within client‑based, research, and UTSW special arrangements. This includes, but is not limited to: calculating the physician and hospital share, working with MSP to transfer the physician’s share to that department, and working with other departments at UTSW to properly invoice clients and bill claims for proper adjudication per our agreements. Be knowledgeable on all payer types and effectively work on special projects for specific initiatives for account resolution projects. Demonstrate confidence and sound decision‑making for processing large volumes of denials, complex accounts, or contractual reviews, as identified from strategic leadership requirements. Make necessary adjustments as required by plan reimbursement. Function as a departmental liaison for billing and collections support for internal and external customers, as required. Utilize systems, tools, and department resources to achieve production and quality targets for resolution of patient accounts. Investigate and respond to questions or requests for additional information in a timely and professional manner to ensure proper, timely and accurate payment of patient accounts. Maintain passing QA Scores. Attend in‑services, classes, and meetings related to all operations within the PFS department. Understand reimbursement of all 3rd party payers. Security and EEO Statement 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. Location Primary Location: 5323 Harry Hines Blvd, Dallas, TX Work Locations: 5323 Harry Hines Blvd, Dallas, TX Job Details Job: Insurance/Billing Organization: 844110 – Patient Financial Services Schedule: Full‑time Shift: Day Job Employee Status: Regular Job Type: Standard Job Posting: May 21, 2026, 4:28:04 AM #J-18808-Ljbffr UT Southwestern Medical Center