Medical Oncology Billing Specialist

Palo Verde Hematology/Oncology, Ltd.; Phoenix, Northern (AZ, KY); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Palo Verde Hematology/Oncology, Ltd. in Phoenix, AZ, is seeking a skilled Billing Specialist to manage insurance claims processing, follow-ups, denials, and appeals. The role focuses on accurate AR activities and timely cash flow.

You will review EOBs, prepare adjustments or refunds, perform data entry, and support patient communications. Knowledge of Medicare/Medicaid rules and CPT/ICD-10 codes is essential, along with strong attention to detail and professional communication.

Qualifications

• Knowledge of billing and insurance practices and procedures including Medicare, Medicaid, and third-party insurers.
• Knowledge of ICD-10 and CPT codes.
• Strong communication skills.

Responsibilities

• 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

Skills

Billing knowledge

ICD-10/CPT codes

Data entry

Communication skills

EOB review

Phone support

Job description

Description

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.