Billing Specialist - Remote (Southern Nevada Only)

The US Oncology Network•Henderson, NV

3d•Remote

About The Position

Comprehensive Cancer Centers of Nevada (CCCN) is seeking a Billing Specialist to join their team in a remote role. Candidates must be located in Southern Nevada. This position operates under general supervision, preparing and submitting patient claims to third-party payers, ensuring compliance with payer-specific billing requirements. The role also involves resolving patient billing inquiries and problems, following standard procedures, and adhering to the US Oncology Compliance Program, Code of Ethics, Business Standards, and Shared Values.

Requirements

High school diploma or equivalent required.
Minimum of two (2) years medical billing and payment specialist or equivalent experience required.
Proficiency with computer systems and Microsoft Office (Word and Excel) required.
Working knowledge of state, federal, and third-party claims processing required.
Must successfully complete required e-learning courses within 90 days of occupying position.

Nice To Haves

Medical coding experience preferred.

Responsibilities

Collects patient documentation and charts for claim submission, ensuring claim forms are completely and accurately filled out.
Updates and maintains patient billing data and ensures documents are current.
Reviews patient charts for completeness and contacts clinical staff for clarification on procedures, diagnosis, or missing information.
Enters charges, processes, and submits insurance claims to third-party payers.
Completes data entry of charges into the Practice Management System.
Completes review of interface transactions and resolution of TES edits.
Verifies that initial claims are accepted by third-party payers.
Reviews reports for claim denials.
Identifies and reports any payer trends, denial patterns, and delays to management.
Adheres to confidentiality, state, federal, and HIPPA laws and guidelines regarding patient records and collections.
Maintains current billing, coding, and standard operating procedures (SOP) files as a desk reference.
Performs payment responsibilities as requested or assigned.
Other duties as requested or assigned.