University Of Texas Southwestern Medical Center

Assistant Director Med/Surgi Followup

Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's in Business Administration or Public Administration (or equivalent experience).
  • Six years of relevant experience in Billing and Revenue Cycle Management specific to Medical/Surgical Follow-up and Denials Management.
  • Preferred Master's in Business or Healthcare.
  • Revenue cycle certification, certified healthcare financial professional, and coding certification are preferred.

Responsibilities

  • Oversee and streamline medical/surgical follow-up processes.
  • Develop follow-up functions and processes for enhanced workflow and productivity.
  • Monitor work queue aging to comply with MSRDP guidelines.
  • Manage denials and implement corrective action plans.
  • Supervise follow-up managers to ensure effective team management and productivity compliance.
  • Approve departmental bills in collaboration with accounting and maintain records.
  • Analyze denial and claims data for accountability and follow-up.

Benefits

  • Comprehensive training and development programs available.
  • Collaborative work environment with leadership engagement.
  • Opportunity for professional growth and advancement.
  • Access to resources for continued education and certification.
Full Job Description
Salary

Salary Negotiable

Experience and Education

  • Bachelor's in Business Administration or Public Administration is required; relevant experience in lieu of a degree may be considered on a year of year basis.
  • Six (6) years of relevant business experience in Billing, Revenue Cycle and Management for Medical/Surgical Follow-up and Denials Management is required.
  • Master's in Business or Healthcare is preferred
  • Preferred: Revenue cycle certification, certified healthcare financial professional, coding certification;


Job Duties

  • Oversee and streamline medical/surgical follow-up processes.
  • Develop medical/surgical follow-up functions and processes to ensure maximum workflow and productivity, communicating deficiencies as well as best practices to operations management.
  • Monitor work queue aging and manage to meet MSRDP guidelines.
  • Monitor denials management and determine corrective action plans.
  • Supervise follow-up managers to ensure appropriate management and oversite of collections staff on a daily basis. Role include hiring, engagement, retention, schedule, monitoring productivity standards, departmental training, approving time off, processing payroll, performance appraisals, disciplinary actions, and exit paperwork.
  • Assist the accounting department by approving all departmental bills for accounts payable and keep comprehensive records.
  • Review denial and claims data on a regular basis to ensure accountability and follow-up.
  • Work collaboratively with Director of Medical and Ancillary follow-up to establish and implement appropriate billing procedures, and procedures for follow-up on third-party approvals and collection of overdue patient accounts.
  • Oversee denied, rejected and appealed claims to ensure proper follow-up and resubmission, if needed.
  • Review and post weekly metrics for supervised staff to determine when operational goals are met.
  • Communicate with leadership any trends/issues identified. Collaborate with contracting to resolve payor specific denial issues.
  • Responsible for developing and maintaining data collection and issue reporting including but not limited to routine and special requests for department, management, administration and corporate offices within required timeframes.
  • Serve as a resource to peers, staff and others, team leader, trainer as required, provides education, develops step actions, standards of performance and monitors and reinforces.
  • Direct, monitor, assign, and evaluate work flows and processes in assigned areas. Work with other departments to ensure seamless process flow, and offer suggestions when a work flow needs to be corrected or changed.
  • Assist in developing the Revenue Cycle Departments budget and provides fiscal direction to the unit.

**Other Duties: Performs other duties as assigned.

About University Of Texas Southwestern Medical Center

The University of Texas Southwestern Medical Center (UT Southwestern) is a public academic health science center in Dallas, Texas. With approximately 14,400 employees and an operating budget of nearly $2.8 billion, UT Southwestern is one of six medical schools in the UT System. UT Southwestern is one of the leading medical research institutions in the world, with a focus on biomedical research, clinical care, and education. The institution is home to six Nobel laureates, 22 members of the National Academy of Sciences, and 19 members of the National Academy of Medicine. UT Southwestern is also affiliated with Parkland Memorial Hospital, one of the largest public hospitals in the United States.
Learn more about University Of Texas Southwestern Medical Center
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