MD Anderson Cancer Center
PBS Associate – Hospital Billing & Collections
MD Anderson Cancer Center, Houston, Texas, United States, 77246
In the Hospital Billing and Collections Department, your role ensures accurate and timely follow-up on medical claims, directly supporting the financial health of the organization and patient care. This is more than a billing position—it’s an opportunity to contribute to a mission-driven team that values precision, collaboration, and excellence. The ideal candidate for the PBS Associate position is a detail-oriented, proactive professional with strong organizational and communication skills. They thrive in a fast-paced environment, managing multiple priorities while ensuring accuracy and compliance with regulatory guidelines. This individual demonstrates a commitment to excellence in billing and collections, with the ability to identify trends, resolve issues, and collaborate effectively across teams.
Key Attributes of the Ideal Candidate:
Claims Management Expertise: Skilled in managing work queues, following up on claims, denial management experience, experience using UB-04 (CMS-1450) forms, and engaging payor websites to ensure timely payments.
Analytical Skills: Capable of identifying denial trends, analyzing accounts receivable issues, and recommending process improvements.
Communication Mastery: Provides clear, concise written documentation and verbal communication to support resolution and transparency.
Problem-Solving Ability: Demonstrates initiative in pursuing appeals, resolving discrepancies, and escalating issues when necessary.
Team-Oriented: Supports departmental training, shares knowledge, and contributes to team success through collaboration.
Adaptability: Handles changing priorities and complex claims with professionalism and efficiency.
Quality & Productivity Focus: Consistently meets departmental standards for accuracy and output.
What’s in it for you?
Paid Medical Benefits: MD Anderson covers 100% of medical benefits for employees, plus dental and vision options.
Generous Paid Time Off (PTO): Vacation, sick leave, and holidays to help you recharge.
Retirement Plans: Secure your future with robust retirement programs and employer contributions.
Professional Growth: Access to training, development programs, and opportunities for advancement.
Mission-Driven Work: Your efforts help maintain financial integrity and support patient care at one of the nation’s leading cancer centers.
Key Responsibilities Claims Follow-Up & Resolution
Manage multiple work queues for follow-up and denials by engaging payor websites and initiating calls to ensure prompt payment of medical claims.
Respond promptly to requests from third-party payors and patient account inquiries received from customer service.
Denial Management & Appeals
Identify denial trends and notify leadership to prevent future denials and delays in payment.
Pursue appeals when available, collaborating with coding teams and clinical staff for coding-related and medical necessity appeals.
Process Improvement & Analysis
Review processes regularly and recommend improvements for assigned payors.
Identify, analyze, and escalation trends affecting accounts receivable collections.
Documentation & Communication
Document all actions clearly on each account, ensuring transparency for other departments involved in resolution.
Provide verbal and written communication to assist management in addressing issues with difficult claims and aging accounts.
Training & Team Support
Assist in department training by sharing payor source knowledge and supporting team education.
Complete assigned special projects to improve team performance.
Quality & Productivity
Meet departmental standards for accuracy, quality, and productivity in all tasks.
Other Duties
Perform additional tasks as assigned to support departmental goals.
MD Anderson Cancer Center
#J-18808-Ljbffr
Key Attributes of the Ideal Candidate:
Claims Management Expertise: Skilled in managing work queues, following up on claims, denial management experience, experience using UB-04 (CMS-1450) forms, and engaging payor websites to ensure timely payments.
Analytical Skills: Capable of identifying denial trends, analyzing accounts receivable issues, and recommending process improvements.
Communication Mastery: Provides clear, concise written documentation and verbal communication to support resolution and transparency.
Problem-Solving Ability: Demonstrates initiative in pursuing appeals, resolving discrepancies, and escalating issues when necessary.
Team-Oriented: Supports departmental training, shares knowledge, and contributes to team success through collaboration.
Adaptability: Handles changing priorities and complex claims with professionalism and efficiency.
Quality & Productivity Focus: Consistently meets departmental standards for accuracy and output.
What’s in it for you?
Paid Medical Benefits: MD Anderson covers 100% of medical benefits for employees, plus dental and vision options.
Generous Paid Time Off (PTO): Vacation, sick leave, and holidays to help you recharge.
Retirement Plans: Secure your future with robust retirement programs and employer contributions.
Professional Growth: Access to training, development programs, and opportunities for advancement.
Mission-Driven Work: Your efforts help maintain financial integrity and support patient care at one of the nation’s leading cancer centers.
Key Responsibilities Claims Follow-Up & Resolution
Manage multiple work queues for follow-up and denials by engaging payor websites and initiating calls to ensure prompt payment of medical claims.
Respond promptly to requests from third-party payors and patient account inquiries received from customer service.
Denial Management & Appeals
Identify denial trends and notify leadership to prevent future denials and delays in payment.
Pursue appeals when available, collaborating with coding teams and clinical staff for coding-related and medical necessity appeals.
Process Improvement & Analysis
Review processes regularly and recommend improvements for assigned payors.
Identify, analyze, and escalation trends affecting accounts receivable collections.
Documentation & Communication
Document all actions clearly on each account, ensuring transparency for other departments involved in resolution.
Provide verbal and written communication to assist management in addressing issues with difficult claims and aging accounts.
Training & Team Support
Assist in department training by sharing payor source knowledge and supporting team education.
Complete assigned special projects to improve team performance.
Quality & Productivity
Meet departmental standards for accuracy, quality, and productivity in all tasks.
Other Duties
Perform additional tasks as assigned to support departmental goals.
MD Anderson Cancer Center
#J-18808-Ljbffr