Technical Denial Management Specialist II

Job Summary

UT Southwestern Medical Center has an opening within the Revenue Cycle Department team for a Technical Denials Management Specialist II. The successful candidate will review, research, and resolve claim denials and appeals for various insurance companies while identifying payment trends in an effort to maximize collections. This role focuses on follow-up and resolution of denied claims and does not involve direct billing or coding responsibilities.

Essential Functions

• Analyze payer denials by denial groupers and submit appeals.
• Contact patients and/or third-party payers to resolve outstanding insurance balances and underpaid claims.
• Makes necessary adjustments as required by plan reimbursement.
• Functions as a liaison between clinical departments and MSRDP management team.
• Completes special projects as assigned.
• Performs other duties as assigned.

Qualifications

• Education and Experience Required: High School Diploma or 2 years' experience in medical claims recovery and/or collections.
• Preferred Education: Associate's degree.
• Knowledge, Skills And Abilities: Self-starter with ability to work well as part of a team and independently. Effective communication with patients, insurance companies, clinical staff, and management. Large volume work handling in a fast-paced, production-oriented environment. Excellent customer service skills. Experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment. Good organizational, flexibility, and analytical skills when resolving more complex unpaid claims. Knowledge of billing and/or collections and regulations. Knowledge of CMS 1500, ICD-9, and CPT coding is preferred. Excellent work ethics and commitment to job responsibilities. Professional and courteous demeanor while being assertive and confident in collection efforts. Quick and accurate alpha/numeric data entry skills. Positive image reflecting well on the organization. Strong written and verbal communication skills. Understanding of Medicaid, Medicare, and insurance billing requirements.

Physical Demands/Work Conditions

• Physical Demands: Talking.
• Working Conditions: Office Setting.

PACT Statement

The following is the acronym, "PACT", and is fundamental to all non-clinical positions at UT Southwestern Medical Center:

• P-Problem Solving: Employees take ownership in solving problems effectively, efficiently, and to the satisfaction of customers, or managers. They show initiative in addressing areas of concern before they become problems.
• A-Ability, Attitude and Accountability: Employees exhibit ability to perform their job and conduct themselves in a professional and positive manner reflecting a professional environment readily assuming obligations in a dependable and reliable manner.
• C-Communication, Contribution, and Collaboration: Who are our customers? Anyone who requests our help, needs our work product, or receives our services. Employees focus on customer service with creative solutions while improving the customer experience through clear, courteous, and timely delivery and communication. Sharing ideas with others helps expand our contribution to department goals.
• T-Teamwork: Employees work to contribute to the department's success by supporting co-workers, promoting excellence in work product and customer service, and in maintaining a satisfying, caring environment for each other.

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.

Security

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

Job Insurance/Billing Organization

713007 - MG Rev Cyc Follow Up

Schedule

Full-time

Shift

Day

Status

Regular

Type

Standard

Level

Individual Contributor

Posting

Aug 25, 2026, 9:50:08 PM