Payment Application Specialist I

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
UT Southwestern Medical Center is seeking a highly motivated and detail-oriented Payment Specialist I to join our dynamic and fast-paced Revenue Cycle team. Works under general supervision and is responsible for the accuracy of facts and/or figures posted to patients, company and suspended and/or pending accounts. Researches and investigates accounts when posting payments from patients, insurance companies, government insurance and other third-party carriers. In this essential role, you will support the financial operations of the medical center by indexing correspondence letters and accurately interpreting Explanation of Benefits (EOBs). As a key member of our team, you will contribute to the seamless flow of financial processes, ensuring timely and accurate payment processing while maintaining a high standard of customer service. If you're someone who thrives in a structured environment, enjoys working behind the scenes, and is passionate about supporting healthcare operations, this is an excellent opportunity to make a meaningful impact. Join our team and help us keep our financial operations running smoothly while ensuring a positive experience for both our patients and providers. 

If you are looking for an opportunity to work in a rewarding, fast-paced, and supportive environment, we encourage you to apply today!

Shift: 8-hour flex schedule, Monday thru Friday. Must begin by 9am each workday. 

Work From Home (WFH) This is a potential work from home position. Will discuss further details in interview.

Key Responsibilities:

• Index and organize correspondence letters from patients, insurance companies, and other stakeholders.
• Interpret and analyze Explanation of Benefits (EOBs) to identify payment discrepancies and ensure accurate payment posting.
• Assist with the resolution of payment issues, including insurance denials and billing discrepancies.
• Maintain accurate and up-to-date financial records, ensuring compliance with healthcare regulations and company policies.
• Collaborate with various departments to ensure efficient and accurate payment processing and revenue cycle management.
• Provide excellent customer service by addressing payment inquiries and helping resolve issues in a timely and professional manner.

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

• Experience
  2 years hospital/medical office payment posting or bookkeeping experience

JOB DUTIES

• Posts payments received from insurance companies, Medicare, Medicaid, patients, etc., to invoices which may involve: a) Research any payment application problems; b) Verifying all documents received; c) Takes appropriate corrective action including contacting insurance companies, patients and/or other insurance carriers to resolve questions to which invoice a payment should be posted; d) Updating the Financial Status Classification (FSC) of a patient; e) Preparing journal vouchers and f) Generating invoices.
• Analyzes automatic processes for correctness and posts all edits and rejects as required. Interacts with Supervisor and Group Leader in assuring data is accurate and submitted in accordance with processing deadlines.
• Posts rejected and pre-post edits manually for payments received electronically with knowledge of electronic positing and reconciliation process.
• Research problem accounts in order to properly post payments. Elevates appropriate posting issues to Group Leader or Supervisor.
• Balances all batches and resolves discrepancies.
• Proper posting of critical company accounts, transplant, research, and complex IA accounts.
• 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.