PBS Associate

We are seeking a highly skilled PBS Associate to join our team at MD Anderson Cancer Center. As a key member of our revenue cycle team, you will be responsible for following up on billed claims within regulatory guidelines.

• Manage multiple work queues for follow-up and denials by engaging payor websites and initiating calls to ensure prompt payment of medical claims.
• Respond to requests made by third-party payors and patient account inquiries in a timely manner.
• Identify denial trends and notify Supervisor and/or Manager to prevent future denials and further delay in payments.
• Pursue appeals when available and initiate communication with coding team and clinical staff when coding-related and medical necessity appeals are warranted.
• Consistently review processes and recommend areas of opportunity with assigned payors.
• Document clear action taken on each account and provide written communication to various departments involved in resolution.

• High school diploma required.
• Three years of experience in billing, insurance follow-up, or collections in a medical or hospital business office setting.
• Preferred experience in account follow-up/revenue cycle with successfully appealing denied claims.
• Epic billing/EMR system experience.
• Thorough understanding of Medicare, Medicaid, Managed Medicare/Managed Medicaid, and their reimbursement policies.

This position is remote and requires a candidate in the Houston area only.

MD Anderson Cancer Center is an equal employment opportunity employer and welcomes applications from diverse candidates.