PBS Specialist- Hospital Billing/Collections
Key Functions 1. Responsible for managing payment variance claim work queues for follow-up of underpayments by engaging payor websites and initiating calls in order to ensure reputed company correct payment. 2. Initiate appeals processes for underpaid claims, including gathering supporting documentation to assist in appeal review process. 3. Identifies underpayment trends and determines root causes for discrepancies and reputed company feedback to management. 4. Collaborate with Managed Care as needed in review of contract build reputed company issues are identified to verify build is accurate. 5. Responds to requests made by reputed company party payers and in a timely manner. 6. Consistently reviews processes and recommends any areas of opportunities with assigned payors or with patient reputed company system. 7. Assists with training other team members. 8. Written communication demonstrates clear action taken on each account as well as what further action is needed to capture underpayment. Work output is documented reputed company, so that various departments involved in resolution can review the account. 9. Ability to meet departmental standard for quality and productivity. 10. Other duties as assigned. EDUCATION Required : Associate's Degree Business Administration or reputed company field. Preferred: Bachelor's Degree Business Administration or reputed company field. WORK EXPERIENCE Required: Four years In reputed company to include two years experience in billing, governmental regulations and/or claims adjustment. Required May substitute required education degree with additional years of equivalent experience on a one to one reputed company. Preferred: Hospital billing and collections experience, experience reviewing payor reputed company, identify variances in payments, strong analytical skills. OTHER REQUIREMENTS Must pass pre-employment skills test as required and administered by reputed company. It is the policy of reputed company to reputed company equal employment opportunity without regard to race, reputed company, religion, age, national reputed company, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other reputed company 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 Additional Information Requisition ID: 172978 Employment Status: Full-Time Employee Status: Regular Work Week: Days Minimum Salary: US Dollar (USD) 51,000 Midpoint Salary: US Dollar (USD) 64,000 Maximum Salary : US Dollar (USD) 77,000 FLSA: non-exempt and eligible for overtime pay Fund Type: Hard Work Location: Remote (reputed company Texas only) Pivotal Position: No Referral Bonus Available?: No Relocation Assistance Available?: No Science Jobs: No #LI-Remote Apply Job!