Claims Analyst

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 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. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! JOB SUMMARY Provides administrative and billing support by reviewing insurance claims, processing patient account refunds, resolving account issues, and maintaining accurate records. Assists with reporting to identify inconsistencies, completes special projects, and performs additional duties as assigned. Work schedule: Flex-shift with 1 day per week in the office. Additional details regarding this will be discussed during the interview. Candidates must live in the Greater DFW area in order to come into the office once per week. BENEFITS UT 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: 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 REQUIRED QUALIFICATIONS Education: Associate's Degree or High School Diploma Experience: 2 years' experience with medical billing or claims processing, knowledge of billing and/or collections rules and regulations with Associate's Degree or 4 year's experience with medical billing or claims processing, knowledge of billing and/or collections rules and regulations with High School Diploma JOB DUTIES Reviews insurance claims through the billing system, including Medicaid, Medicare, third‑party payers. Documents patient accounts related to returned refund checks. Prepares and submits stop‑payment requests for returned patient refund checks. Identifies problems and inconsistencies by using management reports and summarizes findings. Reviews and resolves correspondence from all organizations. Completes special projects as requested. Locates and compiles Medicaid remittance & status reports for submitting to the Cashiers Office. Makes corrections to failed credit‑card refunds. Mails letters to insurance companies. Provides support to account auditors. Performs other duties as assigned. SECURITY AND EEO STATEMENT Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. EEO 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. #J-18808-Ljbffr