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PBS Billing Specialist - Hospital Billing/Collections
Mission Statement
The mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer in
The PBS Billing Specialist provides professional expertise in daily governmental billing and follow-up processes for technical charges. The primary purpose of the PBS Billing Specialist position is to bill and follow-up on Medicare claims within regulatory guidelines. The PBS Billing Specialist must ensure that all claims are filed according to timely filing limits and that all follow-up activities are performed timely and accurately.
2. Complete claims in daily billing workqueue
3. Correct Medicare RTP Billing rejections on-line via Medicare FSS terminal
4. Complete daily response & rejection reports
5. Process appeals
6. Work Medicare denials
7. Required to stay abreast of all Medicare Bulletins & Provider Updates on an ongoing basis
8. Perform follow-up activity on governmental accounts, to include all accounts on Aged Trail Balance Report, Workqueues and Denials Report. Analyze account by visually reading system comments and billing activities
9. Must assure all late and unbilled charges are accounted for and resolved
10. Communicates with various revenue departments to validate claim discrepancies
11. Communicates with the fiscal intermediary/MAC on claims issues
12. Complete claims accurately for patients on CMS Qualified Clinical Trials
13. 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
14. 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
15. Other duties as assigned.
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This position requires: |
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Working in Office Environment |
______ No |
__X__ Yes |
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Working in Patient Care Unit (e.g. Nursing unit; outpatient clinic) |
__X___ No |
______ Yes |
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Exposure to human/animal blood, body fluids, or tissues |
__X___ No |
______ Yes |
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Exposure to harmful chemicals |
__X___ No |
______ Yes |
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Exposure to radiation |
__X___ No |
______ Yes |
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Exposure to animals |
__X____ No |
______ Yes |
Physical Demands
Indicate the time required to do each of the following physical demands:
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Time Spent |
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Never 0% |
Occasionally 1-33% |
Frequently 34-66% |
Continuously 67-100% |
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Standing |
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X |
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Walking |
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X |
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Sitting |
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X |
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Reaching |
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X |
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Lifting/Carrying |
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Up to 10 lbs |
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X |
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10lbs to 50 lbs |
X |
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More than 50 lbs |
X |
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Pushing/Pulling |
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Up to 10 lbs |
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X |
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10lbs to 50 lbs |
X |
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More than 50 lbs |
X |
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Use computer/keyboard |
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X |
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Required Education:
Associate's degree or equivalent college credit.
Required Experience:
Five years of progressively responsible billing experience with three years in governmental hospital billing. May substitute required education degree with additional years of equivalent experience on a one to one basis.
Preferred Experience/Skills:
Experience with Medicare Billing and Medicare Collections for hospital or technical claims, Epic 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
