Oncology Billing Representative

Make a Difference for Patients While Advancing Your Career Regional Cancer Care Associates (RCCA) is seeking an experienced, detail-oriented Oncology Billing Representative to join our growing team. If you have a strong understanding of insurance benefits, prior authorizations, and oncology reimbursement processesand enjoy helping patients navigate the financial side of their carewe want to hear from you! Employment Type: Full Time Location: Moorestown, NJ Compensation: $16.06 - $24.71 per hour Compensation packages based on your unique skills, experience, and qualifications As of the date of this posting, RCCA offers a comprehensive benefits package for this position, subject to eligibility requirements. In addition to the salary, we provide: Health, dental, and vision plans, Wellness program, Health savings account - Flexible spending accounts, 401(k) retirement plan, Life insurance, Short-term disability insurance, Long-term disability insurance, Employee Assistance Program (EAP), Paid Time Off (PTO) and holiday pay, Tuition discounts with numerous universities. We believe these benefits underscore our commitment to the well-being and professional growth of our employees. Responsibilities Monitor and review daily pre-certification work queues in collaboration with the HQ Pre-Certification Department to ensure timely processing and resolution of outstanding items. Identify, investigate, and assist in resolving claim edits, billing discrepancies, and missing documentation to facilitate accurate and timely claim submission. Serve as the primary liaison between the practice and HQ Billing Department, participating in monthly billing meetings and communicating key findings, trends, and recommendations to the Practice Administrator. Manage and resolve Charge Posting Hold Bucket issues by correcting provider and nursing documentation errors and ensuring appropriate drug billing and diagnosis code alignment. Submit hospital charges through the pMD system in accordance with established policies and procedures. Verify referrals and manage Referral Hold Buckets to ensure all necessary approvals and documentation are obtained prior to services being rendered. Complete pre-registration activities, including insurance verification and benefit review, before patient appointments to support efficient patient access and reimbursement processes. Provide cross-coverage for pre-certification and authorization responsibilities during staff absences to maintain uninterrupted patient care and revenue cycle operations. Serve as a billing resource for patients by addressing insurance and billing-related questions and collaborating with HQ Billing to facilitate issue resolution. Maintain a thorough understanding of payer requirements, oncology-related services, medications, and approved diagnosis codes to support revenue cycle accuracy and compliance. Support and adhere to RCCA and US Oncology policies, including the US Oncology Compliance Program, Code of Ethics, HIPAA, and Business Standards. Qualifications High school graduate or equivalent. Minimum three years experience in a medical business office setting. Oncology experience preferred. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, a calculator, telephone, copier and other such office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.