PBS Billing Specialist

University of Texas MD Anderson Cancer Center

Town of Texas (WI)

On-site

USD 61,000 - 91,000

Full time

5 days ago

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Benefits offered by this job

Medical coverage from day one

PTO, holidays & attendance benefits

Tuition assistance program

Pension plan and retirement options

Job summary

The University of Texas MD Anderson Cancer Center is seeking a PBS Billing Specialist in its Hospital Billing & Collections team. The role focuses on accurate commercial billing, claims follow-up, denial management, and payment resolution to support revenue cycle operations.

Remote work within Texas with required onsite as needed, offering a comprehensive benefits package and opportunities to contribute to billing improvements for stem cell transplant and cellular therapy claims.

Qualifications

Required: Associate's Degree or Equivalent college credit.
Progressively responsible billing experience requested; government hospital billing experience preferred.
Experience with stem cell transplant and cellular therapy claims is a plus.

Responsibilities

Complete commercial billing & claims processing within daily workqueue.
Process commercial stem cell transplant and cellular therapy claims per regulations.
Perform denial management & appeals for commercial claims.
Conduct account follow-up & collections based on aging reports.
Maintain billing accuracy & compliance with UB-04, modifiers, HCPCS/CPT codes.
Collaborate with internal stakeholders to resolve discrepancies.

Skills

Commercial billing

Denial management

Accounts follow-up

Revenue cycle

Education

Associate's Degree or equivalent

Job description

The University of Texas MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. Within the Hospital Billing & Collections department, the PBS Billing Specialist plays a critical role in supporting revenue cycle operations through accurate commercial billing, claims follow-up, denial management, and payment resolution activities. The PBS Billing Specialist works collaboratively with internal departments to ensure claims are processed in accordance with regulatory requirements and payer guidelines.

At UT MD Anderson, the PBS Billing Specialist contributes to the financial integrity of the organization by ensuring timely claim submission, effective account follow-up, and accurate billing practices. The PBS Billing Specialist serves as a subject matter resource for commercial billing processes involving stem cell transplant and cellular therapy claims while supporting the organization's mission through operational excellence.

The ideal candidate brings progressive hospital billing experience with a strong background in commercial billing processes and payer follow-up activities. Preferred qualifications include experience with commercial hospital billing as well as stem cell transplant and cellular therapy claims. Candidates should possess the education or equivalent experience necessary to support advanced billing operations, denial management, appeals processing, and revenue cycle performance.

Salary Information (40-hour work week): Minimum: $60,500 annually | Midpoint: $75,500 annually | Maximum: $90,500 annually

Work Location: Remote (within Texas only) -Must be able to come onsite as needed. Work Schedule: Monday - Friday 8am - 5pm.

Why Us?

Employer-paid medical coverage starting day one for employees working 30+ hours/week, plus optional group dental, vision, life, AD&D, and disability insurance.
Accruals for PTO and Extended Illness Bank, plus paid holidays, wellness, childcare, and other leave options.
Tuition Assistance Program after six months of service and access to extensive wellness, fitness, and employee resource groups.
Defined-benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer-paid life and reduced salary protection programs.

Responsibilities

Commercial Billing & Claims Processing

Complete claims within the daily billing workqueue
Process commercial stem cell transplant and cellular therapy claims in accordance with regulatory guidelines
Ensure all claims are filed within established timely filing limits
Correct commercial billing rejections to facilitate claim submission
Complete daily response and rejection reports

Denial Management & Appeals

Process appeals related to commercial claims
Investigate, analyze, and resolve commercial claim denials
Identify barriers to reimbursement and take appropriate corrective action
Notify management immediately of issues causing delays in payment or claim resolution
Recommend edits and claim corrections needed to expedite payment

Account Follow-Up & Collections

Perform timely follow-up activities on commercial accounts
Work accounts identified on Aged Trial Balance Reports, workqueues, and Denials Reports
Analyze account activity through review of system comments and billing history
Ensure follow-up activities are completed accurately and within required timeframes
Document all collection efforts with clear, concise, and complete notes in the system

Billing Accuracy & Compliance

Maintain knowledge of the UB-04 claim form
Utilize modifier logic, HCPCS/CPT codes, and revenue line code descriptions appropriately
Ensure late and unbilled charges are identified, accounted for, and resolved
Stay current on all Commercial Bulletins and Provider Updates
Assure work quality through proofreading, monitoring work output, and system analysis

Collaboration & Communication

Communicate with revenue departments to validate and resolve claim discrepancies
Partner with internal stakeholders to support accurate billing and reimbursement processes
Escalate payment, rejection, and claims-processing issues to management as appropriate
Maintain high standards of accuracy, completeness, and accountability
Perform other duties as assigned

EDUCATION

Required: Associate's Degree or
Required: Equivalent college credit.

WORK EXPERIENCE

Required: 5 years Progressively responsible billing experience with three years in governmental hospital billing.
Preferred: 5 years progressively responsible billing experience with three years in commercial hospital billing and experience with stem cell transplants and cellular therapy claims
May substitute required education degree with additional years of equivalent experience on a one to one basis.

The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.

This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.

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.

Additional Information