Medical Oncology Billing Specialist

Palo Verde Hematology Oncology LTD • Phoenix, AZ

8d • Onsite

About The Position

This role is responsible for processing and following up on insurance claims, including denials and appeals, and managing patient accounts receivable. The specialist will review Explanation of Benefits (EOBs) to identify and resolve discrepancies, prepare adjustments and refund requests, and perform data entry. Additionally, the position involves assisting with patient phone calls, preparing reports, and ensuring compliance with all practice, state, and federal rules and regulations. The role may also include other duties assigned by a Supervisor or Management.

Requirements

• Knowledge of billing and insurance practices and procedures as well as regulations including Medicare, Medicaid, and third-party insurance companies including managed care contracts.
• Knowledge of current ICD-10 and CPT codes is required.
• Strong communication skills are required.
• Requires sitting for extended periods.
• Some bending, stretching and stooping required.
• Manual dexterity enough to use a keyboard and calculator.
• Normal range of hearing and vision and verbal communication is required.
• Use of a telephone is required.

Responsibilities

• Process and follow-up on insurance claims to include denials & appeals.
• Manage Patient Accounts Receivable.
• Review Explanation of Benefits (EOBs) for disallowed or underpaid claim discrepancies.
• Prepare adjustments/refunds requests for accounts, as necessary.
• Perform Data Entry.
• Assist in patient phone calls.
• Prepare reports as assigned.
• Comply with all rules, regulations and procedures of the practice, state, and federal adherence.
• Perform any other duties as assigned by Supervisor or Management.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed