Self-Pay 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

• Manage account follow-up activities, including collections, refiling of insurance claims, insurance verification, registration updates, and account resolution.
• Manage and resolve self-pay account balances, including accounts involving deceased patients, bankruptcy, charity care, and 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.

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
• Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION
Required

• Education
  High School or GED Equivalent
  

• Experience
  3 years directly related medical billing and
  1 year of customer service experience in evaluating customer billing inquiries

Preferred

• Education
  Some college

JOB DUTIES

• Resolve discrepancies on all guarantor account balance types, ensuring payments are applied in accordance with the appropriate contract, discounts, or applicable write-offs, and document all actions taken in system account notes to ensure prior activity is clearly recorded and understandable to others.
• Working self-pay accounts within work queues based on specific criteria. Aging of accounts, account types, specific reasons deceased, bankruptcy, charity, payment plans or balance discrepancies.
• Resolve complex deceased and/or bankruptcy account issues to include resolving credits for insurance and/or patients. Send accounts based on balance criteria to the Office of General Counsel.
• Work closely with the collection agencies for recalls, verifying balances, providing statements, working bad debt credit balances, to include closed and returned accounts.
• 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 and/or patients' insurance regarding benefits, denials, or any claim issues.
• Identify ways to improve work processes and provide recommendations for new or revised procedures, to enhance the collection and customer service process, implement and monitor results as appropriate in support of the overall goals of the department.
• Work closely with Management to help identify and report trends pertaining to the Self-Pay work queues. Make recommendations regarding workflows and procedures.
• 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.