Oncology Revenue Cycle Specialist (42857)

UROLOGY CLINICS OF NORTH TEXAS PLLC•Mesquite, TX

1d•Onsite

About The Position

The Oncology Revenue Cycle Specialist II is responsible for insurance verification, benefit analysis, prior authorization procurement, and accounts receivable follow-up for radiation and medical oncology services. This position ensures timely reimbursement, reduces claim denials, and supports patient financial transparency.

Requirements

High school diploma or equivalent required
Minimum 2+ years oncology insurance verification required
Minimum 2+ years AR follow-up experience in specialty practice required
Radiation oncology billing experience required
Strong knowledge of oncology authorizations and payer requirements
Understanding of medical billing workflows and claim lifecycle
Strong communication and analytical skills
Ability to prioritize high-volume tasks

Responsibilities

Insurance Verification & Authorization (30–35%): Verify insurance eligibility and oncology-specific benefits
Obtain and track prior authorizations and referrals
Coordinate with clinical staff for documentation
Accurately document benefit information in billing system
Communicate patient financial responsibility prior to service
Maintain 10-day pre-service verification standard
Accounts Receivable & Claims Resolution (60–65%): Monitor AR aging and follow up on unpaid claims
Research and resolve denials and underpayments
Submit corrected claims and appeals as necessary
Communicate with payers regarding documentation requests
Assist patients with account inquiries and payment arrangements
Operational Support (5%): Provide cross-coverage during staffing shortages
Perform additional duties as assigned