Medical Oncology Billing Specialist

Insurance Claims Processor

Job Duties:

• Process and follow-up on insurance claims to include denials & appeals.
• Patient Accounts Receivable
• Review Explanation of Benefits (EOBs) for disallowed or underpaid claim discrepancies
• Prepare adjustments/refunds requests for accounts, as necessary.
• 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

Requirements

Physical Requirements:

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.

Performance 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.

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