Supervisor, Reimbursement - Ophthalmology

Work from home (WFH): This is a work from home position estimated at 90%. However, candidates must live in the State of Texas, DFW area candidates are preferred. Additional details shall be discussed as part of the interview process.

The Ophthalmology Department team has a new opportunity available for the role of Supervisor, Reimbursement. The ideal applicant will have experience in Ophthalmology as well as included 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  

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. 
• 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. 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.