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MD Anderson Cancer Center · 1 day ago

Patient Business Services Billing Specialist

Killeen-Temple Area

Full-time

Hybrid

Mid, Senior Level

$60K/yr - $90K/yr

5+ years exp

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. The PBS Billing Specialist provides professional expertise in daily governmental billing and follow-up processes for technical charges, ensuring that all claims are filed according to timely filing limits and that follow-up activities are performed timely and accurately.

Health CareHealth DiagnosticsHospitalMedical

Growth Opportunities

Responsibilities

Maintain working knowledge of UB-04, including modifier logic, HCPCS/CPT codes, and revenue line code descriptions

Complete claims in daily billing work queues and process daily responses/rejections

Correct Medicare RTP Billing rejections online via Medicare FSS terminal

Complete claims accurately for patients on CMS Qualified Clinical Trials

Work governmental denials and process appeals

Perform follow-up activity on governmental accounts, including Aged Trial Balance Report, work queues, and Denials Report

Analyze accounts by reviewing system comments and billing activities

Stay abreast of all Payor Bulletins and Provider Updates on an ongoing basis

Ensure all late and unbilled charges are accounted for and resolved

Communicate with various revenue departments to validate claim discrepancies

Communicate with fiscal intermediary/MAC on claims issues

Notify management immediately of all rejections or problems causing delays in payment or resolution

Notify management of any edits or claim corrections needed to expedite payment

Document clear, concise, and complete collection notes in the system for each account worked

Assure accounts are worked at a high level of quality and completeness by proofreading and monitoring work output

Perform system analysis as needed

Perform other duties as assigned

Qualification

UB-04 KnowledgeMedicare Claims ProcessingGovernmental Billing ExperienceDenials & Appeals ManagementCompliance KnowledgeCommunication SkillsDocumentation Skills