Medical Billing Specialist SR

US Oncology, Inc. Denver , CO 80208

Posted 3 weeks ago

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.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Billing Assurance And Lease Administration Analyst Denver CO

Coresite

Posted 1 week ago

VIEW JOBS 1/5/2021 12:00:00 AM 2021-04-05T00:00 <p>As a member of the company’s Accounting team, the Billing Assurance and Lease Administration Analyst will be charged with providing support in the areas of license/lease administration and overseeing billing related activities for a specific market which includes verifying license/lease information has been accurately populated or entered within Salesforce.com and the billing system, quality assurance related to customer case entry, and producing timely, accurate, and complete customer invoices. The Billing Assurance and Lease Administration Analyst will be responsible for reviewing license agreement parameters, resolving discrepancies, and coordinating resolution with various departments. This position will report to a Billing Assurance Supervisor and will need to interface with individuals throughout the organization including Customer Services Representatives, Operations, Facilities, Legal, Accounting/Finance, Internal Audit, Sales and Senior Management. </p> <p><strong>Duties:</strong></p> <p></p> <ul> <li>Work closely with our Sales, Legal, and Senior management teams as needed to facilitate customer and CoreSite signatures of contracts and ensure the information presented on a contract and entered in Salesforce.com is accurate</li> <li>Ensure license/lease information is accurately entered into the SalesForce.com contract repository upon execution of a contract and that all required documentation is obtained and communicated timely to the appropriate CoreSite functions</li> <li>Review and process license/lease notifications for move outs, space changes, date changes, assignments, and non-standard amendments to ensure timely and accurate customer setup and billing adjustments</li> <li>Review customer cases for buildouts, power/interconnect adds and disconnects for accuracy including product type, location, pricing, quantity, quotes, dates and adherence to license (contract) requirements</li> <li>Process monthly recurring invoices for the assigned market which includes entering manual utility bills, reviewing late fees to be assessed, manual billing adjustments per special contractual terms, reviewing usage based charges, comparing month-over-month revenue, and distributing invoices to customers </li> <li>Address billing questions/fixes from the other groups within Accounting, Customer Service Representatives, Sales, or customers </li> <li>Coordinate error resolution with appropriate department(s) which involves preparing documentation, seeking approvals, and entering credit/debit adjustments as needed.</li> <li>Review customer certificates of insurance and work with the Client Services team to address any outstanding issues</li> <li>Work with the Facilities and Operations teams to perform service audits and confirm accurate work order billing as needed</li> <li>Assist with the monthly agent referral and broker commission payment process as needed</li> <li>Interact with various departments in the organization to share knowledge and promote best practices</li> <li>Special projects as assigned (referral and commission reconciliations, data cleanup efforts, etc.)</li> </ul><p><strong>Requirements</strong></p><p><strong>Knowledge, Skills &amp; Abilities:</strong></p> <ul> <li>Self-starter that works well under pressure in a high volume environment, produces accurate results and responds proactively to change</li> <li>Well-developed organizational, analytical and problem solving skills with an impeccable work ethic and accountability to deadlines</li> <li>Ability to retain information and apply to applicable scenarios.</li> <li>Ability to comprehend, analyze, and interpret complex business documents, lease/license documents and detailed financial summaries</li> <li>Understanding of billing systems and Accounts Receivable processes</li> <li>Intermediate or higher degree of proficiency with Microsoft Excel</li> <li>Excels in a team-orientated work environment</li> <li>Excellent interpersonal, verbal, and written communication skills</li> <li>Successful in dealing with customer and company personnel at all levels</li> <li>Knowledge of JD Edwards and Salesforce.com is a plus </li> </ul> <p><strong>Education/Experience:</strong></p> <ul> <li>Bachelor’s degree in business/accounting/finance </li> <li>Minimum of 2 years’ work experience in an Accounts Receivable, Billing, or Quality Assurance position</li> <li>Experience in telecom and/or real estate industry is a plus</li> </ul> <p><strong>Physical Demands:</strong></p> <p>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 may be made to enable individuals with disabilities to perform the essential functions. </p> <p><a rel="nofollow noreferrer noopener" class="external"></a></p><p>While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.</p><p><strong>Benefits</strong></p><p>Not only does CoreSite have a fun, team-focused work environment, but we also offer great benefits!</p> <ul> <li>Medical and Vision coverage through Cigna Heath Care</li> <li>Telemedicine through MDLive</li> <li>Dental Insurance through Delta Dental</li> <li>Life Insurance and Short-Term &amp; Long-term Disability Insurance fully paid by the company</li> <li>Voluntary coverage benefits for Life and AD&amp;D, Critical Illness, Accident Coverage, and Hospital Indemnity</li> <li>Medical and Dependent Care Flexible Spending Account (FSA) Plans and Health Saving Account (HSA) Plans</li> <li>401(k) retirement savings plan with a generous company contribution</li> <li>Free parking or a company contribution towards a public transit pass</li> <li>Paid Parental Leave</li> <li>16 days of Personal Time Off (PTO)</li> <li>10 paid Holidays</li> <li>Wellness program with annual incentive</li> </ul> <p><strong>Applicant Privacy Notice</strong>: CoreSite is committed to protecting the privacy and security of personal information submitted by applicants. The California Consumer Privacy Act (CCPA) requires us to provide you information about our personal information handling practices. As a result, we’re providing this Privacy Notice that describes how we collect, use, share, and update personal information from individuals who wish to be considered for employment with CoreSite. To read the Applicant Privacy Notice, please go to <a href="https://www.coresite.com/applicant-privacy-notice" rel="nofollow noreferrer noopener" class="external">https://www.coresite.com/applicant-privacy-notice</a>.</p> Coresite Denver CO

Medical Billing Specialist SR

US Oncology, Inc.