Medical Billing Specialist SR

US Oncology, Inc. Denver , CO 80208

Posted 3 weeks ago

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Position Summary

The US Oncology Network is looking for an upbeat and ambitious Medical Billing Specialist SR who will be supporting the needs of our Regional Business Office located in the Greater Denver Metro Area. US Oncology is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer!

About US Oncology

The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology and quality of care. For more information, visit www.usoncology.com. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability and Wellness & Perks Programs.

SCOPE

Under general supervision, prepares and submits patient claims to appropriate third party payers. Reviews claims to ensure that payer specific billing requirements are met. Resolves routine and non-routine patient billing inquiries and problems. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Collects patient documentation and charts for claim submission. Ensures claim forms are completely and accurately filled out. Updates and maintains patient billing data and ensures documents are current.

  • Reviews patient charts for completeness. Contacts clinical staff for clarification on procedures or diagnosis and on missing information.

  • Enters charges, processes, and submits insurance claims to third party payer. Completes data entry of the charges into Practice Management System. Completes review of interface transactions and resolution of TES edits. Verifies that initial claim is accepted by third party payers. Reviews reports for claim denials.

  • Identifies and reports any payer trends, denial patterns, and delays to management.

  • Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient's records and collections.

  • Responsible for maintaining current billing, coding, and standard operating procedures (SOP) files as a desk reference.

  • Other duties as requested or assigned. May perform payment responsibilities.

MINIMUM QUALIFICATIONS

  • High school diploma or equivalent required.

  • Minimum three years of medical billing and payment experience required.

  • Medical coding experience preferred.

  • Strong experience with Excel.

category: administrative

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

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Medical Billing Specialist SR

US Oncology, Inc.

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