Billing Specialist

The US Oncology Network•Columbia, MO

5h•Hybrid

About The Position

Under direct supervision is responsible for all claim submissions, which includes verifying accuracy of charges and patient demographic information on claim detail. Responsible for timely follow-up with patients and third party payors. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards. The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer! About US Oncology The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit www.usoncology.com. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.

Requirements

High school graduate or equivalent.
Position is entry level and requires 0-3 years experience in a medical business office setting.
Proficiency with computer systems and MicroSoft Office (Word and Excel) required.
Demonstrate knowledge of CPT coding and HCPS coding application.
Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.
Must successfully complete required e-learning courses within 90 days of occupying position.

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.