Account Adjuster II

%3Cp%3E%3Cstrong%3EWHY UT SOUTHWESTERN?%3C/strong%3E%3Cbr%3EWith 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 No. 1 hospital in Dallas-Fort Worth according to %3Ci%3EU.S. News %26amp; World Report%3C/i%3E, 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%27ll discover a culture of teamwork, professionalism, and a rewarding career!%26nbsp;%3Cbr%3E%3Cbr%3E%3Cstrong%3EJOB SUMMARY%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3EResearches and resolves credit balance accounts resulting from errors in payment posting, charge entry, contractual adjustments, and overpayments.%26nbsp;%3C/li%3E%3Cli%3EResolves all applicable problems with patient accounts, including issuing refunds.%26nbsp;%3C/li%3E%3Cli%3EResolves all insurance companies refund request letters received.%26nbsp;%3C/li%3E%3Cli%3EReviews patient account transactions and payment history to identify discrepancies, determine the root cause of credit balances, and ensure appropriate account resolution.%26nbsp;%3C/li%3E%3Cli%3EResearches and validates refund amounts, processes account adjustments, and follows established procedures for issuing patient and insurance refunds.%26nbsp;%3C/li%3E%3Cli%3ECommunicates with insurance companies and internal departments to resolve outstanding account issues and refund requests.%26nbsp;%3C/li%3E%3Cli%3EMaintains accurate documentation of account research, adjustments, and refund activity while monitoring outstanding credit balances to ensure timely and accurate resolution.%26nbsp;%3C/li%3E%3Cli%3E%3Cstrong%3EThis is a Work from home (WFH) positions. Applicants must live within 1 hour or less of the Greater DFW area.%26nbsp;%3C/strong%3E%3C/li%3E%3Cli%3E%3Cstrong%3EShift - Flex shift starts between 0600-0900, 8-hour days Monday through Friday.%26nbsp;%3C/strong%3E%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EBENEFITS%3C/strong%3E%3Cbr%3EUT 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:%3C/p%3E%3Cul%3E%3Cli%3EPPO medical plan, available day one at no cost for full-time employee-only coverage%3C/li%3E%3Cli%3E100% coverage for preventive healthcare-no copay%3C/li%3E%3Cli%3EPaid Time Off, available day one%3C/li%3E%3Cli%3ERetirement Programs through the Teacher Retirement System of Texas (TRS)%3C/li%3E%3Cli%3EPaid Parental Leave Benefit%3C/li%3E%3Cli%3EWellness programs%3C/li%3E%3Cli%3ETuition Reimbursement%3C/li%3E%3Cli%3EPublic Service Loan Forgiveness (PSLF) Qualified Employer%3C/li%3E%3Cli%3E%3Ca href=%22http://jobs.utsouthwestern.edu/benefits/#top%22 target=%22_blank%22%3ELearn more about these and other UTSW employee benefits!%3C/a%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EEXPERIENCE AND EDUCATION%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3ERequired%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cstrong%3EEducation%3C/strong%3E%3Cbr%3EHigh School Diploma or equivalent%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3E%3Cstrong%3EExperience%3C/strong%3E%3Cbr%3E3 years%27 experience performing follow-up/collections, payment posting, appeals and managed care contract understanding/interpretation%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EPreferred%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cstrong%3EExperience%3C/strong%3E%3Cbr%3EAt least six (6) months related work experience performing appeals and managed care contract understanding/interpretation%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EJOB DUTIES%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3EReviews patient accounts for incorrect posting which may include contacting insurance companies, patients and researching insurance payments to identify and correct posting errors; reviewing credit reports and age reports to identify posting problems.%3C/li%3E%3Cli%3EValidate and issue refunds to patients and third-party carriers for overpayment or duplicate payment, according to state regulations and contractual obligations.%3C/li%3E%3Cli%3EIdentifies and resolves credits posted to patient accounts; corrects overpayments or distributing funds according to UT Southwestern policy.%3C/li%3E%3Cli%3EIdentifies and denies any refund request letters that are past the insurance refund deadline.%3C/li%3E%3Cli%3EAppropriately transfer payments between invoices and/or accounts.%3C/li%3E%3Cli%3ECommunicate, approve, and reject refund requests to payers and third-party carriers, via phone call and written correspondence.%3C/li%3E%3Cli%3EVerifies insurance is correct, update insurance demographics, rebill claims and perform appeals if applicable.%3C/li%3E%3Cli%3EDuties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.%3C/li%3E%3Cli%3EPerforms other related duties as required.%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3ESalary Information%3C/strong%3E%3Cbr%3ESalary is commensurate with education, skills, and relevant experience.%3Cbr%3E%3Cbr%3E%3Cstrong%3ESECURITY AND EEO STATEMENT%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3ESecurity%3C/strong%3E%3Cbr%3EThis position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.%3Cbr%3E%3Cbr%3E%3Cstrong%3EEEO%3C/strong%3E%3Cbr%3EUT 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.%3Cbr%3E%26nbsp;%3C/p%3E Job Details Primary Location: Texas-Dallas-5323 Harry Hines Blvd Work Locations: 5323 Harry Hines Blvd, Dallas, 75390 Job: Insurance/Billing Organization: 713004 - MG Rev Cyc-Cash Management Schedule: Full-time Shift: Day Job Employee Status: Regular Job Type: Standard Job Level: Individual Contributor Job Posting: Oct 29, 2026, 4:24:16 PM

High school diploma or equivalent; 3 years' experience in follow-up/collections, payment posting, appeals, and managed care contract understanding; must live within 1 hour of Greater DFW area; flex shift 0600-0900.

Key Responsibilities

• resolving credit balances
• issuing refunds
• communicating with insurers

Job Details

• Category: Finance and Accounting
• Seniority: Mid Level
• Commitment: Full Time
• Workplace: Remote — Dallas, Texas, United States
• Languages: English

Benefits

• Generous paid time off
• Tuition reimbursement
• Retirement plan
• Generous parental leave

About UT Southwestern Medical Center

A world-renowned medical and research center in Dallas-Fort Worth, Texas, committed to excellence, innovation, teamwork, and compassion. — Industry: Healthcare

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