Medical Oncology Billing Specialist

Palo Verde Hematology Oncology LTD • Phoenix, AZ

5d

About The Position

The Medical Oncology Billing Specialist processes and follows up on insurance claims, including denials and appeals. The role reviews Explanations of Benefits (EOBs) to identify disallowed or underpaid claims, prepares account adjustments and refund requests as necessary, enters data, assists with patient phone calls, and prepares reports as assigned. The specialist must comply with the rules, regulations, and procedures of the practice and applicable state and federal requirements, and perform other duties as assigned by a supervisor or management.

Requirements

• Knowledge of billing and insurance practices and procedures.
• Knowledge of regulations and insurance programs, including Medicare, Medicaid, third-party insurance companies, and managed care contracts.
• Knowledge of current ICD-10 and CPT codes.
• Strong communication skills.
• Ability to sit for extended periods.
• Some bending, stretching, and stooping.
• Manual dexterity sufficient to use a keyboard and calculator.
• Normal range of hearing and vision and verbal communication ability.
• Ability to use a telephone.

Responsibilities

• Process and follow up on insurance claims, including denials and appeals.
• Review EOBs for disallowed or underpaid claim discrepancies.
• Prepare account adjustments and refund requests as necessary.
• Perform data entry.
• Assist with patient phone calls.
• Prepare reports as assigned.
• Comply with the practice’s rules, regulations, and procedures, as well as applicable state and federal requirements.
• Perform other duties as assigned by a supervisor or management.

What This Job Offers

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