Overview

Patient Business Services Associate Jobs in Houston at MD Anderson Cancer Center


Title: Patient Business Services Associate

Company: MD Anderson Cancer Center

Location: Houston

The University of Texas MD Anderson Cancer Center in Houston is one of the world’s most respected centers focused on cancer patient care, research, education and prevention. It was named the nation’s No. 1 hospital for cancer care in U.S. News & World Report’s 2018 rankings. It is one of the nation’s original three comprehensive cancer centers designated by the National Cancer Institute.

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

Manage multiple work queues for follow-up and denials by engaging payor websites and initiate calls in order to ensure prompt payment of medical claims.

Responds to requests made by third party payors and in a timely manner.

Responds timely to patient account inquires received from customer service.

Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments. Makes recommendations for resolution.

Pursues appeals when available. Initiates communication with coding team and clinical staff when coding related, and medical necessity appeals are warranted.

Consistently reviews processes and recommends any areas of opportunities with assigned payors

Written communication demonstrates clear action taken on each account as well as what further action is needed to capture payment. Work output is documented clearly, so that various departments involved in resolution can review the account.

Achieves improved team performance by completing assigned special projects.

Identifies, analyzes and escalates trends affecting AR collections.

Provides verbal and written communication while assisting management in addressing issues with difficult claims and aging.

Facilitates department training by assisting other team members in payor source education and knowledge sharing as requested by Management.

Ability to meet departmental standard for quality and productivity

Education

Required:

High school diploma or equivalent.

Preferred

: Associates degree. Additional experience may be substituted for required degree on a one-for-one basis.

Experience

Required:

Two years billing governmental or commercial insurance and insurance collections experience.

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

Working Conditions

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

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About MD Anderson Cancer Center