Supervisor, Transplant - 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 patients and employees. With over 20,000 employees, we are committed to continuing our growth with the best professionals in the healthcare industry. We invite you to be a part of the UT Southwestern team where you'll discover teamwork, professionalism, and consistent opportunities for growth.

JOB SUMMARY

Desired applicant will have five (5) or more years of experience in transplant services such as transplant revenue cycle, contracting or front end/financial counselor/administration experience. Experience in EPIC (registration/workqeues/bundled episodes) preferred. Experience with Microsoft Excel and Access a plus. This is a full-time position managing oversight of team and direct handling of referrals and work queues as well as backup for staff due to short staffing/vacations or high volumes.

SUPERVISOR RESPONSIBILITIES:

• Current team consists of 5 full time UTSW staff and 2 contract FTE.

• Supervise 7 FTE • Training - inexperienced staff and ongoing

• WQ assignment for charge review (6), Patient (2), follow-up (6) and claims edit (6) wqs.

• Oversight and backup Guarantor Account WQs (PNB) - 20 wqs.

• Manage Adult Stem Cell (SCT) & CARTCell Referrals

• Backup CUH Solid Organ, CMC and PHHS Referrals

• Credit/Refunds Inquiries

• Coordination with Follow Up Team Issues

• Troubleshoot EPIC/Process issues.

• Backup Case Rate Allocations

• Special Projects as needed.

Shift: 8-hour days Monday through Friday. Additional details shall be discussed as part of the interview process.

Remote position. Possible rare in-office meeting or training. Additional details shall be discussed as part of the interview process.

EXPERIENCE | EDUCATION:

• High School diploma

• Plus five (5) years of supervisory experience

• And 5 years' experience working in a clinical revenue cycle environment.

• Experience in needed specialty area, such as transplant, may be considered on a year-for-year basis for up to 3 years in lieu of supervisory experience.

• Coding certifications (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, CCA) and/or degrees (associate level, bachelor level, master level) preferred and may be considered in lieu of years of experience.

JOB DUTIES:

• Exercises responsibility for establishing, reviewing, and revising internal revenue cycle controls/procedures, and workflow to achieve maximum efficiency and personnel utilization; ensures production and quality control standards are met by reviewing management reports.

• Reviews and analyzes information, identifies problems, recommends solutions, and/or drafts reports for management or other personnel.

• Ensure timely revenue cycle work queue metrics are achieved by their direct reports; assigns workload to meet production requirements; compiles, analyzes and reports status and issues involving all aspects of assigned area; makes recommendations to management to reflect changes by reviewing management reports and other data, identifies conflicts and writes resolutions.

• Monitor charge entry and charge capture quality control through routine staff and process auditing; ensure charge reconciliation monitoring occurs by Team Leaders.

• Maintains performance standards by counseling employees, performing appraisals, and providing required training; assists with quality control testing and reporting.

• Ensures departmental policies and procedures are properly followed; develops and revises policies and procedures as needed; maintains written procedures for workflow by writing or updating procedures as needed; communicates and educates all applicable information to appropriate personnel and affiliated facilities as required.

• Completes special projects and participates in project groups and tasks force teams.

• Backs up manager and employees as required during vacations, sickness, transitions, or other absences.

• May provide backup for other departmental responsibilities (transplant guarantor accounts, solid organ transplant patient referrals, case rate allocations, etc.).

• May supervise/oversee specialized transplant patient referrals. Performs other duties as assigned.

KNOWLEDGE, SKILLS & ABILITIES:

• Work requires proficient computer skills, including Microsoft Word, Excel, PowerPoint, and Epic.

• Work requires strong negotiating, analytical & organizational skills as well as the ability to be flexible with changing needs and deadlines.

• Work requires the ability to interact & communicate both verbally & in writing with all levels of associates, management & healthcare providers.

• Work requires good organizational, flexibility and analytical skills when resolving more complex unpaid claims.

• Work requires one to possess quick and accurate alpha/numeric data entry skills.

• Work requires ability to handle large volumes of work.

WORKING CONDITIONS:

Work is performed primarily in a general office/clinic area.

SECURITY:

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.