7 часов назад
Oncology Billing Representative
16 - 25$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Oncology Billing Representative (Revenue Cycle): Managing oncology billing, insurance verification, prior authorizations, referrals, and claims documentation with an accent on reimbursement accuracy and compliance. Focus on resolving billing discrepancies, aligning drug billing with diagnosis codes, and coordinating pre-certification and authorization workflows.
Location: Moorestown, New Jersey, United States; work is performed in an office environment.
Salary: $16.06–$24.71 per hour
Company
Regional Cancer Care Associates is part of and provides oncology care services.
What you will do
- Monitor daily pre-certification work queues and resolve outstanding items with the HQ Pre-Certification Department.
- Investigate claim edits, billing discrepancies, missing documentation, and charge posting hold issues.
- Submit hospital charges through the pMD system and ensure accurate drug billing and diagnosis code alignment.
- Verify referrals, insurance coverage, benefits, and required approvals before patient appointments and services.
- Coordinate with practice leadership and the HQ Billing Department, sharing billing trends and recommendations.
- Answer patient insurance and billing questions and provide cross-coverage for authorization responsibilities.
Requirements
- High school diploma or equivalent.
- At least three years of experience in a medical business office setting.
- Strong knowledge of insurance benefits, prior authorizations, reimbursement processes, and payer requirements.
- Ability to work in an office environment and interact frequently with staff, patients, and the public.
- Ability to comply with HIPAA, the US Oncology Compliance Program, the Code of Ethics, and business standards.
Nice to have
- Oncology experience.
Culture & Benefits
- Health, dental, and vision insurance plans.
- Wellness program, health savings account, and flexible spending accounts.
- 401(k) retirement plan and life, short-term disability, and long-term disability insurance.
- Employee Assistance Program, paid time off, and holiday pay.
- Tuition discounts with numerous universities.
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