Supervisor, Reimbursement - Ophthalmology

Location

Type, TX | United States

Job description

The Ophthalmology Department team has a new opportunity available for the role of Supervisor, Reimbursement. The preferred applicant will have experience in Ophthalmology as well as include but not limited to the following: 

• Supervise up to ten (10) direct reports (billers/coders)
• Insurance verification
• Obtaining authorizations
• Obtaining referrals
• Training with direct reports, CSA’s, etc. 

Cases will include:

• Cornea
• Glaucoma
• Retina
• Neuro
• Plastics 
• Ophthalmology  

Work from home (WFH): This is a work from home position 90%. Additional details shall be discussed as part of the interview process.

Quick tip(s):

• Please review the section entitled experience/education and focus on the job requirements.
• Make sure you include the experience listed under the requirements section on your application.

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.

EXPERIENCE / EDUCATION: 

• High school diploma or GED,
• Seven (7) years experience in physician practice plan, healthcare, or medical insurance environment to include two (2) years supervisory experience,
• And previous exposure to hospital or physician billing are required.
• Certified as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Advanced Records Technician (ART), or Registered Records Administrator (RRA) preferred.

JOB DUTIES: 

• Provides assistance and training to staff on coding, compliance and billing issues. 
• Acquires and maintains thorough knowledge of federal and state legislative and administrative action affecting physician reimbursement; disseminates acquired knowledge to faculty and staff.
• Serves as a backup to Revenue Cycle Manager on Edit Admin. Committee to approve and advise edit requests for university.
• Maintains coding edits for division to ensure accuracy and compliance.
• Supervises daily operation of departmental billing activities.
• Analyzes all departmental monthly denial reports; reviews for proper coding, unbundling, concurrent care, modifiers and compliance to ensure maximum reimbursement.
• Performs other duties as assigned.

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. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; sex; including sexual harassment; age; disability; genetic information; citizenship status; and protected veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression. 

Job tags

Salary