UT Southwestern Medical Center · 2 days ago
Patient Financial Services Rep II
Dallas, TX
Full-time
Hybrid
Senior Level
5+ years expUT Southwestern Medical Center is a world-renowned medical and research center in Dallas-Fort Worth, Texas. They are seeking a Patient Financial Services Representative II to analyze payer underpayments, manage medical claims, and ensure timely and accurate payment of patient accounts.
Health CareHospitalMedical
Responsibilities
Analyze payer underpayments, variances, and denials. Escalate trends, make comprehensive suggestions, and file professional appeals according to our contractual agreements and UT Southwestern policy. This includes timely processing of allocated volume of accounts, based on established production guidelines and time parameters provided for workflow
Responsible for outbound calls and/or status inquiries via payer's website validating receipt of medical claims and adjudication status within established timeframes. Display competent ability to access, navigate, and manage account information through phone calls and payer websites. Documents all work and calls performed, in accordance to policy. This includes complete contact information, good grammar, and expected outcomes
Display competency and ability to work within client based, research, and UTSW special arrangements. This includes but is not limited to: calculating the physician and hospital share and working with MSP to transfer the physician's share to that department, working with other departments at UTSW to properly invoice clients and bill claims for proper adjudication per our agreements
Be knowledgeable on all payer types and effectively work on special projects for specific initiatives for account resolution projects. Demonstrate confidence and sound decision making for processing through large volumes of denials, complex accounts, or contractual reviews, as identified from strategic leadership requirements
Make necessary adjustments as required by plan reimbursement
Function as a departmental liaison for billing and collections support for internal and external customers, as required
Utilize systems tools and department resources to achieve production and quality targets for resolution of patient accounts
Investigates and responds to questions or requests for additional information in a timely and professional manner to ensure proper, timely and accurate payment of patient accounts
Maintains passing QA Scores
Attends in-services, classes and meetings related to all operations to the PFS department. Understands reimbursement of all 3rd party payers
Qualification
Required
High School Diploma
5 years of hospital medical billing and collections experience
Preferred
Bachelor's Degree
Knowledge of payer contracts
Transplant payer contract knowledge is highly preferred but not required
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
Company
UT Southwestern Medical Center
UT Southwestern Medical Center offers clinical care, education, and scientific research.
10001+ employees
H1B Sponsorship
UT Southwestern Medical Center has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (358)
2024 (238)
2023 (266)
2022 (274)
2021 (213)
2020 (179)
Funding
Current Stage
Late StageTotal Funding
$22MKey Investors
The Dallas FoundationPatient-Centered Outcomes Research Institute
2023-06-20Grant
2023-04-20Grant· $4M
2023-03-28Grant· $18M
Leadership Team
Chris Rubio
Interim Chief Executive Officer, Clements University Hospital
Dennis Pfeifer
AVP & CTO University Health System
Recent News
2025-12-26
Medical Xpress - latest medical and health news stories
2025-12-24
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