Patient Business Services Billing Specialist - Hospital Billing & Collections

Title: Patient Business Services Billing Specialist - Hospital Billing & Collections

• Requisition #:183657
• Department:Hospital Billing & Collections
• Location:Remote (Within Texas), TX

Job Description:

The University of Texas MD Anderson Cancer Center is home to Hospital Billing & Collections, a department responsible for supporting accurate governmental billing, claims processing, reimbursement activities, and revenue cycle operations. This team works closely with internal departments and governmental payers to ensure compliant and timely claim resolution for technical hospital services.

UT MD Anderson is a leading institution focused on cancer care, research, education, and prevention. The PBS Billing Specialist plays a critical role in supporting reimbursement processes, regulatory compliance, and financial stewardship. The PBS Billing Specialist ensures governmental claims are billed accurately and resolved efficiently, while the PBS Billing Specialist contributes to the organization's mission by supporting essential revenue cycle functions.

The ideal candidate will have an Associate's Degree or equivalent college credit, along with extensive experience in hospital billing and collections. Preferred candidates will have direct experience billing Medicare, TRICARE, CHAMPVA, and other governmental payers, strong Epic system experience, and demonstrated ability to investigate complex billing issues, identify root causes, and implement effective corrective actions to improve reimbursement outcomes and reduce denials.

Salary Information: Minimum $60,500/annually - Midpoint $75,500/annually- Maximum $90,500/annually

The typical work schedule is Days.

Work Location: Remote but must be willing to come onsite as needed.

Why Us?

UT MD Anderson offers an opportunity to contribute directly to a mission-driven healthcare organization while developing expertise in governmental billing, denial management, regulatory compliance, and revenue cycle operations. This role provides meaningful exposure to complex reimbursement processes, collaboration across departments, and opportunities for professional growth while supporting work-life balance and long-term career development.

• 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

Governmental Billing & Claims Processing

• Bill and follow up on claims for Medicare, TRICARE, CHAMPVA, and other applicable governmental payers
• Submit claims within applicable filing deadlines and according to regulatory requirements
• Apply governmental payer billing guidelines to maximize reimbursement and support claim resolution
• Ensure billing activities are performed accurately, timely, and efficiently

Billing Expertise & Work Queue Management

• Utilize working knowledge of UB-04 institutional claim forms, modifier logic, HCPCS/CPT codes, revenue codes, and billing requirements
• Complete claims assigned to daily billing work queues
• Ensure claims are accurate, complete, and submitted according to payer-specific requirements
• Apply governmental payer guidelines to all billing activities

Denial Resolution, Appeals & Account Follow-Up

• Research, correct, and resolve Medicare Return to Provider (RTP) rejections and other governmental payer claim rejections
• Review and resolve daily claim response reports, rejection reports, and billing exception reports
• Analyze denial root causes and implement corrective actions to prevent recurring issues
• Prepare, submit, and follow up on appeals, reconsiderations, and payer dispute requests within filing deadlines
• Perform timely follow-up on assigned governmental accounts, aged trial balance accounts, work queues, and denial reports
• Continue account follow-up until final resolution is achieved

Communication, Compliance & Specialized Billing

• Communicate with revenue cycle departments to resolve claim discrepancies and obtain required documentation
• Communicate with Medicare Administrative Contractors (MACs), fiscal intermediaries, TRICARE contractors, CHAMPVA representatives, and other governmental payer contacts
• Maintain current knowledge of Medicare bulletins, CMS regulations, MAC updates, TRICARE guidelines, CHAMPVA requirements, and other governmental payer policies
• Ensure compliant billing for CMS-qualified clinical trials and other specialized claims
• Notify management of billing errors, reimbursement delays, filing deadline risks, and payer processing issues

Documentation, Quality Assurance & Account Resolution

• Document clear, concise, accurate, and complete collection notes for every account worked
• Record payer communications, claim status, denial reasons, actions taken, and required follow-up activities
• Review account history, billing transactions, system comments, and work output for quality and compliance
• Identify and resolve late charges, unbilled charges, and accounts pending billing
• Coordinate with appropriate departments to facilitate timely claim submission and reimbursement
• Perform other related hospital billing and collection 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.
• May substitute required education degree with additional years of equivalent experience on a one to one basis.
• Preferred: hospital billing and collections for Medicare, TRICARE, CHAMPVA, and other applicable governmental payers.
• Preferred: experience using Epic to research accounts, manage billing work-queues, resolve claim edits and denials, document collection activities, and monitor account resolution.
• Preferred: ability to research complex billing issues, identify root causes, and implement appropriate corrective actions to prevent recurring denials and billing errors.

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.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

Additional Information

• Requisition ID: 183657
• Employment Status: Full-Time
• Employee Status: Regular
• Work Week: Days
• Minimum Salary: US Dollar (USD) 60,500
• Midpoint Salary: US Dollar (USD) 75,500
• Maximum Salary : US Dollar (USD) 90,500
• FLSA: non-exempt and eligible for overtime pay
• Fund Type: Hard
• Work Location: Remote (within Texas only)
• Pivotal Position: No
• Referral Bonus Available?: No
• Relocation Assistance Available?: No

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