Account Adjuster - Cash Management

UT Southwestern Medical Center - Dallas, TX

Full-time - Mid Level

Remote - Dallas, TX

10,001+ employees

Hospitals

About the position

The Account Adjuster position within the Cash Management Division of the Revenue Cycle Department at UT Southwestern involves researching and resolving credit balance accounts, analyzing payer underpayments, and managing overpayment notifications. This role is essential for ensuring accurate financial transactions and maintaining compliance with state regulations and contractual obligations. The position offers flexibility with work-from-home options for candidates residing in Texas, particularly in the DFW area.

Responsibilities

• Research and resolve credit balance accounts resulting from payment posting, charge entry, contractual adjustments, and overpayments.
• Analyze payer underpayments, variances, and denials.
• Follow up with various payers to notify of overpayment to initiate payer refund/recoupment.
• Review patient accounts for incorrect posting, contacting insurance companies and patients as necessary.
• Validate and issue refunds to patients and third-party carriers for overpayments or duplicate payments.
• Identify and resolve credits posted to patient accounts, correcting overpayments as per policy.
• Batch all paperwork and balance all batches daily.
• Transfer payments between invoices and/or accounts as required.
• Communicate, approve, and reject refund requests to payers and third-party carriers via phone and written correspondence.

Requirements

• High school diploma or GED.
• Two years of experience performing insurance collections or insurance payment posting.
• At least six months of related work experience performing appeals and understanding managed care contracts.

Nice-to-haves

• Experience in managed care contract understanding/interpretation.

Benefits

• Paid parental leave
• Health insurance
• Tuition reimbursement
• Paid time off
• Work from home
• Loan forgiveness