Billing Specialist

The US Oncology NetworkManchester, CT
$25 - $28Onsite

About The Position

Are you detail‑driven, organized, and passionate about making a difference behind the scenes of patient care? Join our team as a Billing Specialist and play a vital role in ensuring accurate, timely, and ethical healthcare billing operations. As of the date of this posting, RCCA offers a comprehensive benefits package for this position, subject to eligibility requirements. In addition to the salary, we provide: Health, dental, and vision plans, Wellness program, Health savings account - Flexible spending accounts, 401(k) retirement plan, Life insurance, Short-term disability insurance, Long-term disability insurance, Employee Assistance Program (EAP), Paid Time Off (PTO) and holiday pay, Tuition discounts with numerous universities. We believe these benefits underscore our commitment to the well-being and professional growth of our employees.

Requirements

  • High school graduate or equivalent.
  • Minimum three years experience in a medical business office setting.

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.

Benefits

  • Health, dental, and vision plans
  • Wellness program
  • Health savings account - Flexible spending accounts
  • 401(k) retirement plan
  • Life insurance
  • Short-term disability insurance
  • Long-term disability insurance
  • Employee Assistance Program (EAP)
  • Paid Time Off (PTO) and holiday pay
  • Tuition discounts with numerous universities
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