MD Anderson Cancer Center PBS Specialist - Healthcare Billing in Houston, Texas
Manages Patients' inquiries via the phone or direct patient encounter.
Manages a high volume of complex inquiries across all the patient accounting systems and resolves concerns within 24-48 hours.
Utilize critical thinking skills not only to make judgements on accounts but also to ensure that patients concerns are addressed.
Work with Patient Advocacy to address patients' concerns
Address My Chart requests and follow up with patients within 24-48 hours
Load/ Link insurance information
Compiles the refund request packages for approval and processing
Must be able to perform analysis on all accounting systems assuring billing of total charges, verification of payment postings, contractual adjustments and report valid account information.
Always Adheres to the ABC's of customer service by adhering to the greetings established for the department.
Receives and responds to incoming calls from providers and representatives from insurance companies providing information necessary to expedite claim processing and resolution.
Follows up on aged balances identified during each encounter with patients and work towards immediate resolution.
Reviews the patients accounts in its entirety to resolve the complete account; undistributed balance, aged balances, refund pending.
Must have excellent written and oral communication
Collection, Documentation, and Job Knowledge
Advises patients of all aged balances throughout the accounting systems and take actions to collect.
Documents all communication with the patients clearly and accepts accountability for completion of the inquiry.
Maintain all assigned work queues by not lagging beyond 30 days with no follow up activity documented.
Completes payment plan request timely and accurately according to the guidelines established by the department.
Achieves the annual collection goals established by the department.
Work independently and deal effectively with stress as a result of heavy workload and the handling of complex patient inquiries.
Notifies management timely on accounts that indicates delinquency according to the payment plan contract. Must maintain valid credit card information.
Must be knowledgeable in reviewing balances in the Epic systems for the PB and HB and understands how to add insurance information for billing purposes.
Prevent PHI/HIPAA violations.
Attends required training classes required for the department.
Ability to access resources available to accurately make a decision.
Associate's degree in Business Administration or related field.
Four years of experience in a business office setting to include two years experience in billing, governmental regulations and/or claims adjustment. May substitute required education degree with additional years of equivalent experience on a one to one basis.
- Empathetic, good problem-solving skills, excellent communication skills, good multi-task skills, actively listening, good time management, team player, adaptable, tech-savvy, emotional Intelligence and organized.
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
Requisition ID: 149450
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
Work Location: Hybrid Onsite/Remote
Pivotal Position: No
Minimum Salary: US Dollar (USD) 41,500
Midpoint Salary: US Dollar (USD) 52,000
Maximum Salary : US Dollar (USD) 62,500
Science Jobs: No