Komen Graduate Training Program UT MDACC ยท 2 days ago
Patient Business Services Billing Specialist
Brownsville Metro
Full-time
Hybrid
Mid, Senior Level
$60K/yr - $90K/yr
5+ years expThe University of Texas MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. They are seeking a Patient Business Services Billing Specialist responsible for governmental billing and follow-up processes, ensuring claims are filed and followed up on accurately and timely.
Hospital & Health Care
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
Required
Associate's Degree or equivalent college credit
5 years 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
Benefits
Medical
Dental
Paid time off
Retirement
Tuition benefits
Educational opportunities
Individual and team recognition
Company
Komen Graduate Training Program UT MDACC
Through generous funding from Susan G.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase