PBS Associate – Hospital Billing & Collections

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.

• 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.

• 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.

• 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.

• Review processes regularly and recommend improvements for assigned payors.
• Identify, analyze, and escalation trends affecting accounts receivable collections.

• 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.

• Assist in department training by sharing payor source knowledge and supporting team education.
• Complete assigned special projects to improve team performance.

• Meet departmental standards for accuracy, quality, and productivity in all tasks.

• Perform additional tasks as assigned to support departmental goals.

MD Anderson Cancer Center