PBS Associate - Hospital Collections

Healthcare / Business Support

The mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public.

Ideal candidate will have Transplant and Cellular Therapy claims experience.

The primary purpose of the PBS Associate position is to follow-up on claims within regulatory guidelines. The PBS Associate must ensure that all claims have a follow-up action according to timely filing limits and that all follow-up activities are performed accurately.

Key functions include managing multiple work queues for follow-up and denials, responding to requests made by third party payors and patient account inquiries, identifying denial trends, pursuing appeals, reviewing processes for recommendations, documenting work output, completing special projects, analyzing trends affecting AR collections, assisting management in addressing issues with difficult claims and aging, facilitating department training, and meeting departmental standards for quality and productivity.

Education : High School Diploma or Equivalent. Preferred : Associate's Degree Business, healthcare or related field.

Required : 3 years experience in billing, insurance follow-up, or collections in a medical or hospital business office setting. Preferred : Hospital collections experience including follow up and denial management experience, experience with high dollar claims, experience with complex reimbursements, experience using UB-04 (CMS-1450) forms, insurance verification / authorization, knowledge of CPT codes.

Work Schedule : Remote 100%. Must be flexible for meetings and collaboration if needed onsite. We are looking for applicants in the Houston / local area only. Other requirements include passing pre-employment skills test as required and administered by Human Resources. The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.