[Hiring] Self-Pay Analyst @UT Southwestern Medical Center

Role Description

Manage account follow-up activities, including:

• Collections
• Refiling of insurance claims
• Insurance verification
• Registration updates
• Account resolution

Manage and resolve self-pay account balances, including:

• Accounts involving deceased patients
• Bankruptcy
• Charity care
• Collection agency recalls

• Respond to and resolve incoming and outgoing inquiries related to patient accounts and self-pay balances.
• Serve as a liaison between patients, clinics, follow-up teams, hospital staff, insurance companies, and vendors to facilitate timely and appropriate account resolution.
• Assist in resolving patient disputes and payment-related concerns while ensuring a positive customer experience.
• Maintain accurate account documentation and ensure follow-up activities are completed in accordance with established policies and procedures.
• Demonstrate exceptional customer service through professional, courteous, and effective communication with patients, staff, insurance representatives, vendors, and other stakeholders.
• Utilize strong problem-solving and critical-thinking skills to identify and resolve account issues efficiently.
• Support organizational goals by promoting timely payment of outstanding balances and minimizing account aging.
• Maintain confidentiality and compliance with all applicable company, regulatory, and patient privacy requirements.

Shift: 8-hour days Monday through Friday. Additional details shall be discussed during the interview.

Work From Home (WFH): This position offers you the opportunity to work from home (WFH). Additional details regarding work from home are to be discussed during the interview. Must live in the state of Texas.

Qualifications

• High School or GED Equivalent
• 3 years directly related medical billing experience
• 1 year of customer service experience in evaluating customer billing inquiries
• Some college (preferred)

Requirements

• Resolve discrepancies on all guarantor account balance types, ensuring payments are applied in accordance with the appropriate contract, discounts, or applicable write-offs.
• Document all actions taken in system account notes to ensure prior activity is clearly recorded and understandable to others.
• Work self-pay accounts within work queues based on specific criteria.
• Resolve complex deceased and/or bankruptcy account issues.
• Work closely with collection agencies for recalls, verifying balances, and providing statements.
• Assist with certain tasks that may be Third Party Liability related.
• Respond to written correspondence to all patient inquiries promptly.
• Assist as a backup to the Customer Service Team by answering patient calls.
• Work with the Insurance Follow-up team regarding benefits, denials, or any claim issues.
• Identify ways to improve work processes and provide recommendations for new or revised procedures.
• Work closely with Management to help identify and report trends pertaining to the Self-Pay work queues.
• Perform other duties as assigned.

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