Billing Operations Manager

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

The MSRDP Billing Operations Revenue Cycle Manager will oversee the daily operations of the revenue cycle for multiple departments, including Neurosurgery, OBI-Spine, Orthopedic Surgery, Plastic Surgery, and the Pediatric Intensive Care Unit (PICU). This role ensures operational efficiency, maximizes service delivery, and ensures compliance with established guidelines. The manager will drive improvements in processes, lead cross-functional teams, and collaborate with clinical departments to optimize revenue cycle performance.

• Direct Reports: 3
• Indirect Reports: 40 employees
• Work From Home: This position is remote, including training. The candidate must reside in the Greater DFW area. Further details will be discussed during the interview.
• Shift: 8 AM - 5 PM (Occasional early or late meetings may be required).

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 Diploma or equivalent and

• Experience
  11 years' experience in physician practice plan, healthcare, or medical insurance environment to include three (3) years supervisory experience and previous exposure to hospital or physician billing

Preferred

• Education
  Bachelor's Degree

• Licenses and Certifications
  (CPC) CERT PROFESSIONAL CODER and
  (ART) ASSOC RECORDS ADMIN or
  (RRA) REGISTERED RECORDS ADMIN

JOB DUTIES

• Manages the centralized front end revenue cycle for an assigned group of departments.
• Manages staff and regularly analyzes operational volume to determine appropriate staffing requirements. Oversees the development of workflows to maximize staff productivity; monitors, evaluates and prioritizes projects such that established deadlines are met. Maintains policies and procedures. Manages staff recruitment and selection process. Oversees administration of annual employee performance appraisals.
• Manages employees responsible for resolution of outstanding Accounts Receivable. Assures timely and full collection of physician fees billed to Medicaid, Medicare, Managed Care, Commercial and other third-party payers. Analyzes, recommends, and implements policies and procedures as needed to maximize reimbursement for all services rendered in compliance with established third-party guidelines. Compiles, analyzes and reports status, issues and recommendations for accounts receivables; manages overall production of claims according to departmental procedures.
• Constantly evaluates current charge capture and claim denial follow-up processes to ensure all revenue cycle systems are utilized to maximize charge capture and reimbursement. Ensures all charges are processed and billed accurately and in a timely manner. Reports deficiencies and change recommendations to the Director.
• Maintains effective communication with department senior staff to ensure receipt of new provider hire information, report charge capture and clinical documentation issues, resolve billing issues, and develop charge capture workflows for new programs and service lines.
• Works with the front-end revenue cycle billing compliance team to: (a) Research and analyze reimbursement rules, regulations, and policies; (b) Develop billing policies and procedures for new technology and service lines; or (c) Assist in making appropriate billing and reimbursement policy recommendations.
• Monitors revenue cycle dashboard lag reports that include charge review, claim edit, and follow-up metrics. When required develops or improves processes to achieve and maintain the metric standards.
• Designs and compiles periodic financial reports for management to include analysis of revenue and medical service activity. Acquires and maintains thorough knowledge of Federal and State Legislative and Administrative action affecting physician reimbursement; disseminates acquired knowledge to faculty.
• 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.
• 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. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position.

EEO Statement
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.

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!