MD Anderson Cancer Center Patient Business Service Associate (Cash Collection/Posting) in Houston, Texas
Theprimary purpose of the PBS Associate position in Service Documentation is toresearch & post payments, adjustments, denials and FCC transfers in atimely and accurate manner in a high-volume and demanding environment.
This position will provide assistance for Cash Management.
Post payments, adjustments and denials for Commercial, Managed Care, Medicare and Medicaid payers, to include Embassy, Bone Marrow and other special accounts to the appropriate account or invoice utilizing the IDX and SMS application.
Reconcile payments and adjustments posted to A/R (balance batch totals and deposits).
Research payment and denials prior to posting to ensure accurate posting.
Maintain account accuracy by posting payments, denials and adjustments accurately and investigating accounts that present problems with invoice balance or type of previously posted adjustment.
Post FSC transfers and assign REP codes and update existing patient accounts including but not limited to demographics and insurance information
Thorough knowledge and understanding of managed care concepts and how this relates to the managed care contracts in the institution.
Ability to communicate both verbally and in writing to internal and external customers.
Intermediate knowledge of business applications (Excel, Word, PowerPoint, MS Office, etc).
Thorough understanding of "debits" and "credits" and how these are reflected on the IDX or SMS systems.
Ability to create memos, letters and other correspondence.
Research "Not Applied" payments and post to appropriate account; routes documentation to designated Associate for additional follow-up.
Identify over payments on invoices and route appropriate documentation to Credit Resolution Department.
Contact payers as required to obtain additional information for accurate posting or managed care affiliation.
Responsible for detailed account audits of hospital and physicians accounts and various payment and credit variations, managed care and contract issues relating to the proper handling of credit balances. Provides analytical support and specialized reporting for the department as needed by the Manager or Supervisor.
Preparation of various payment vouchers including check requests, wire transfer requests and credit card refund requests. Able to prepare and provide appropriate documentation in support of all refunds processed.
Utilize system-generated reports as required to enhance posting accuracy
Refers written correspondence and system-generated reports to appropriate department
Advanced ability to read, understand and accurately interpret explanation of benefits and remittance advices.
Generates, sorts, reviews and processes reports, as appropriate.
Prepare batches for posting and imaging
Complete special projects and other duties as assigned including but not limited to assisting with mail sorting and distribution and scanning of refund check request vouchers for AP processing
Required: High school diploma.
Required: Three years of experience in billing, insurance follow-up, or collections in a medical or hospital business office setting. Must pass pre-employment skills test as required and administered by Human Resources.
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.