Account Adjuster

Title: Account Adjuster
Location: Dallas, TX 75247
Type: 3 Months Contract

Description:

Qualified candidate must have extensive refund experience (self-pay and/or insurance). Or even payment posting experience.

SUMMARY
Researches and resolves patient accounts for errors in posting of payments, charge entry, and contractual adjustments. Performs corrections requested by clinical departments, patients or third party carriers. Resolves all applicable problems with patient accounts.

ESSENTIAL FUNCTIONS
1. Reviews patient accounts for incorrect posting which may include: contacting insurance companies, patients and researching insurance payments to identify and correct posting errors; reviewing credit reports and age reports to identify posting problems; and completing charge reversals.
2. Issues refunds to patients and third party carriers for overpayment or duplicate payment.
3. Identifies and resolves credits posted to patient accounts; corrects overpayment.
4. Batches all paperwork and balances all batches.
5. Transfers payments between invoices and/or accounts.
6. Performs other adjustments or corrections to patient accounts as required.
7. Posts payments to patient accounts.
8. Communicate and dispute refund requests to payers and third party carriers, via phone call and written correspondence.
9. Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.
10. Performs other related duties as required.

MINIMUM QUALIFICATIONS
EDUCATION/EXPERIENCE
High school diploma and three (3) years' experience performing follow-up/collections, payment posting, appeals and managed care contract understanding/interpretation is required. At least six months related work experience in a data entry, healthcare and/or insurance environment is preferred.

KNOWLEDGE, SKILLS, & ABILITIES
• Work requires the ability to use standard office machines such as adding machines, computers, calculators, etc.
• Work requires strong analytical skills.
• Work requires strong grammatical, writing, and communication skills.
• Work requires critical thinking to validate and dispute audit findings from payers.
• Work requires the ability to type at least 35 words-per-minute. Extreme accuracy in entering facts or figures and in the operation of office machines.
• Work requires the ability to organize and prioritize work to meet deadlines.
• Work requires skills to communicate well in both oral and written forms.
• Work requires knowledge of basic computer software applications.
• Work requires the ability to perform work of considerable complexity including working independently towards general results, devising new work methods, or meeting new conditions necessitating a high degree of ingenuity, initiative, and judgment.

The following is the acronym, "PACT ", and is fundamental to all non clinical positions at UT Southwestern Medical Center:
• P-Problem Solving: Employees take ownership in solving problems effectively, efficiently, and to the satisfaction of customers, or managers. They show initiative in addressing areas of concern before they become problems.
• A-Ability, Attitude and Accountability: Employees exhibit ability to perform their job and conduct themselves in a professional and positive manner reflecting a professional environment readily assuming obligations in a dependable and reliable manner.
• C-Communication, Contribution, and Collaboration: Who are our Customers? Anyone who requests our help, needs our work product, or receives our services. Employees focus on customer service with creative solutions while improving the customer experience through clear, courteous, and timely delivery and communication. Sharing ideas with others helps expand our contribution to department goals.
• T-Teamwork: Employees work to contribute to the department's success by supporting co-workers, promoting excellence in work product and customer service, and in maintaining a satisfying, caring environment for each other.

WORKING CONDITIONS
Work is performed primarily in an office environment.
Any qualifications to be considered as equivalents in lieu of stated minimum require prior approval of the Vice President for Human Resources Administration, or his/her designee.
This position is security-sensitive and thereby subject to the provisions of Texas Education Code §51.215.