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The Patient Account Specialist Sr position at TMC Oncology involves performing various billing and account management tasks, including Medicare billing, commercial and state Medicaid appeals, and preparation for state Medicaid fair hearings. The role requires a complex review and reconciliation of patient accounts, ensuring timely and accurate payments, and resolving problematic accounts based on a thorough understanding of payer contracts. The position also includes responsibilities such as balancing cash receipts, making independent decisions regarding billing and credit balances, and providing excellent customer service to patients and staff.