Manager, Hospital Denials

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

The Manager of PFS Revenue Cycle Operations  AKA Hospital Denials Manager, plays a pivotal role in the hospital's revenue cycle by overseeing and optimizing the resolution of technical insurance claim denials and insurance follow-up. This position manages three Supervisors and a team of 35 staff members, ensuring efficient workflows, staff engagement, and adherence to best practices in denials management. The successful applicant is responsible for identifying root causes of technical denials, developing strategies to prevent future occurrences, and driving initiatives that reduce accounts receivable balances and improve cash flow. Given our continued focus on automation and digital transformation, we strongly prefer candidates with experience leveraging AI tools and bot-enabled workflows to enhance denials management and overall revenue cycle efficiency.

Some of the key responsibilities include the following :

• Strong experience with EPIC Resolute-particularly in Rev Cycle workflows-is highly preferred for this role.
• Leadership and Team Management
• Technical Denials Management
• Operations Oversight
• Technology and Innovation

Stakeholder Collaboration

Work From Home (WFH) : This is a WFH position. Applicant must live in Texas, the Greater DFW area is preferred. Additional details shall be discussed as part of the interview process.

Shift : 8am-5pm, Monday through Friday

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 :

EXPERIENCE AND EDUCATION

Required

5 years of hospital billing / operations to include federal, state, third party payors, research & transplant.

3 years of progressive supervisory / management experience with extensive knowledge of Patient of Financial systems & processes including the healthcare revenue cycle, coding & billing compliance.

Proven record of identifying PI opportunities.

Requires strong negotiating, analytical & organizational skills as well as the ability to be flexible with changing needs & deadlines; the ability to interact & communicate both verbally & in writing with all levels of associates, mgmt., & patients.

JOB DUTIES

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.

EEO

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.