Billing Specialist

The US Oncology Network•Dyer, IN

35d•Onsite

About The Position

Northwest Cancer Centers is the most advanced oncology group in Northwest Indiana. Our physicians have combined decades of experience and received their training at highly acclaimed research institutions both nearby in Chicago and across the world. Our Gynecologic Oncology team offers an integrative approach to the diagnosis, treatment and surgical management of women cancers. Our focus as physicians is to give you the right diagnosis and guide you as medical experts. We take pride in using a comprehensive approach towards our patients’ health. We believe that long-term care after cancer treatment is as important as your current treatment.

Requirements

Position is entry level and requires 0-3 years experience in a medical business office setting.
High school graduate or equivalent.

Nice To Haves

Knowledge of patient insurance and billing processing (preferred).

Responsibilities

Collects and reviews all patient insurance information needed to complete the billing process.
Completes all necessary insurance forms (i.e. HCFA 1500, Blue Cross/Blue Shield, UMWA, Medical Assistance, Medicare, etc.) to process the proper billing information in a timely manner as required by all third party payors.
Transmits daily all electronic claims to third party payors.
Researches and resolves any electronic claim delays within 24 hours of exception report print date.
Submits all paper claims and supporting documentation as required by payors. Files all claims, documentation, etc. in patient financial files.
Resolves patient complaints and requests regarding insurance billing and initiates accurate account adjustment. Follows all billing problems to conclusion.
Resubmits insurance claims as required. Reports any trends/delays to supervisor.
Processes any necessary insurance/patient correspondence. Mails accurate statements to patients within 24 hours of print date.
Provides all necessary documentation (on or with HCFA1500) required to expedite payments. This includes demographic, authorization/referrals, UPIN number, and referring doctors. Submits claims within 24 hours of print date.
Obtains appropriate medical records, with patient and/or responsible party authorization on file, as they relate to the billing process.
Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation.
Communicates effectively to payors and/or claims clearinghouse to ensure accurate and timely electronically filed claims as per department guidelines.