Transplant Specialist, Revenue Cycle

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 The 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: Overseeing 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. All duties require understanding, interpretation, and application of contract parameters to complete. Reviewing patient referrals/updates within EPIC registration/bundled episodes and transplant access database. Reviewing charges in EPIC 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. Shift: 7am-4pm or 8am-5pm Work 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. 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%25 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! EXPERIENCE AND EDUCATION Required Experience 5 years experience in the health care industry to include at least three (3) years in managed care contracting/provider relations or revenue cycle. and May consider additional years of healthcare experience in lieu of education. Preferred Education Bachelor's degree in business administration, Hospital Administration, or related field. Experience Transplant program experience JOB DUTIES 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. 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.