Billing Specialist

The US Oncology Network•Philadelphia, PA

22d•Onsite

About The Position

Alliance Cancer Specialists is seeking an experienced Medical Billing Specialist for our to join our Trevose Admin office responsible for the accurate and timely submission of medical claims, verification of charges and patient demographic information, and follow‑up with patients and third‑party payors. This role plays a key part in ensuring timely reimbursement while maintaining compliance with payer requirements and organizational standards. The Medical Billing Specialist supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.

Requirements

High school diploma or equivalent required
Minimum of three (3) years experience in a medical business office or billing environment
Strong attention to detail and accuracy
Ability to organize, prioritize, and follow through on multiple tasks
Effective written and verbal communication skills
Ability to work independently and resolve billing issues efficiently
Knowledge of medical billing forms, insurance processes, and third‑party payor requirements
Commitment to confidentiality and compliance standards
Prolonged periods of sitting and computer‑based work
Frequent use of keyboard, calculator, telephone, copier, and other office equipment
Occasional lifting of files or materials up to 30 pounds
Ability to bend, stoop, and reach for files and supplies
Vision correctable to 20/20 and hearing within normal range for telephone communication
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions
Office‑based work environment
Frequent interaction with staff, patients, insurance representatives, and the public
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions

Responsibilities

Collect and review patient insurance and demographic information necessary to complete the billing process
Prepare and submit insurance claims accurately and timely using required forms (e.g., HCFA 1500, Medicare, Medical Assistance, Blue Cross/Blue Shield, UMWA, and other third‑party payors)
Transmit electronic claims daily and research/resolves electronic claim rejections or delays within 24 hours of exception report generation
Submit paper claims and all required supporting documentation as required by payors
File claims, documentation, and correspondence in patient financial records
Follow up with insurance carriers and patients regarding claim status and payment resolution
Resolve patient billing inquiries and complaints; initiate accurate account adjustments and follow issues through to resolution
Resubmit claims as necessary and identify/report trends or delays to supervisor
Process insurance and patient correspondence and mail patient statements within 24 hours of print date
Provide complete and accurate documentation with claims, including demographic data, referrals, authorizations, provider identifiers, and referring physician information
Obtain medical records with proper authorization as needed to support billing and reimbursement
Maintain strict confidentiality regarding patient accounts and financial information
Communicate effectively with payors and claims clearinghouses to ensure accurate and timely claim processing