MD Anderson Cancer Center Jobs

Job Information

MD Anderson Cancer Center Patient Business Service (PBS) Associate in Houston, Texas

Mission Statement

The mission of The University of Texas MDAnderson 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.

Summary

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

Key Functions

  1. Must have knowledge of the UB-04 and/or HCFA 1500. This includes a working knowledge of modifier logic, HCPCS/CPT codes and revenue line code descriptions.

  2. Complete claims on daily Billing Error report

  3. Correct billing rejections and update insurance or information as needed

  4. Correct commercial and governmental claims for billing

  5. Process appeals

  6. Work denials

  7. Complete daily response & rejection reports

  8. Review edits for claim production

  9. Required to stay abreast of all billing regulations

  10. Must assure all late and unbilled charges are accounted for and resolved.

  11. Responsible for notifying management immediately of all rejections and/or problems causing a delay in payments or resolutions of claims. Responsible for notifying Management of any edits or claim corrections needed to expedite payment.

  12. Document clear, concise and complete collection notes in system for each account worked. Assure accounts are worked at a high level of quality and completeness by visually proofreading and monitoring work output. This includes performing system analyzation.

  13. Other duties as assigned.

This position requires:

Working in Office Environment

__ No

X Yes

Working in Patient Care Unit (e.g. Nursing unit; outpatient clinic)

X_ No

__ Yes

Exposure to human/animal blood, body fluids, or tissues

X_ No

__ Yes

Exposure to harmful chemicals

X_ No

__ Yes

Exposure to radiation

X_ No

__ Yes

Exposure to animals

X__ No

__ Yes

Physical Demands

Indicate the time required to do each of the following physical demands:

Time Spent

Never

0%

Occasionally

1-33%

Frequently

34-66%

Continuously

67-100%

Standing

X

Walking

X

Sitting

X

Reaching

X

Lifting/Carrying

Up to 10 lbs

X

10lbs to 50 lbs

X

More than 50 lbs

X

Pushing/Pulling

Up to 10 lbs

X

10lbs to 50 lbs

X

More than 50 lbs

X

se computer/keyboard

X

Mission Statement

The mission of The University of Texas MDAnderson 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.

Summary

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

Key Functions

  1. Must have knowledge of the UB-04 and/or HCFA 1500. This includes a working knowledge of modifier logic, HCPCS/CPT codes and revenue line code descriptions.

  2. Complete claims on daily Billing Error report

  3. Correct billing rejections and update insurance or information as needed

  4. Correct commercial and governmental claims for billing

  5. Process appeals

  6. Work denials

  7. Complete daily response & rejection reports

  8. Review edits for claim production

  9. Required to stay abreast of all billing regulations

  10. Must assure all late and unbilled charges are accounted for and resolved.

  11. Responsible for notifying management immediately of all rejections and/or problems causing a delay in payments or resolutions of claims. Responsible for notifying Management of any edits or claim corrections needed to expedite payment.

  12. Document clear, concise and complete collection notes in system for each account worked. Assure accounts are worked at a high level of quality and completeness by visually proofreading and monitoring work output. This includes performing system analyzation.

  13. Other duties as assigned.

REQUIREMENTS

Experience

Required: Three years of experience in billing, insurance follow-up, or collections in a medical or hospital business office setting.

Education

Required: High school diploma.

Must pass pre-employment skills test as required and administered by Human Resources.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

Additional Information

  • Requisition ID: 132869

  • Employment Status: Full-Time

  • Employee Status: Regular

  • FLSA: non-exempt, eligible for overtime, and is subject to the provisions of the Fair Labor Standards Act (FLSA)

  • Work Week: Days

  • Fund Type: Hard

  • Pivotal Position: Yes

  • Minimum Salary: US Dollar (USD) 34,000

  • Midpoint Salary: US Dollar (USD) 43,500

  • Maximum Salary : US Dollar (USD) 53,000

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