Oncology Billing Specialist: Claims & Denials Expert

Palo Verde Hematology Oncology LTD; Phoenix (AZ); On-site; USD 36,000 - 60,000; Full time

Job summary

Palo Verde Hematology Oncology Ltd. in Phoenix, AZ, is seeking a Billing Specialist to process and follow up on insurance claims, including denials and appeals.

The role involves reviewing Explanation of Benefits, handling underpayments, preparing adjustments and refunds, data entry, supporting patient calls, and generating reports while adhering to Medicare, Medicaid and managed care contracts. Candidates should know current ICD-10 and CPT codes and exhibit strong communication skills and

Qualifications

• 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.

Responsibilities

• Process and follow-up on insurance claims to include denials & appeals.
• 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 experience

Accounts receivable

ICD-10 coding

CPT coding

Medicare/Medicaid knowledge

Strong communication

Job description

Palo Verde Hematology Oncology Ltd. in Phoenix, AZ, is seeking a Billing Specialist to process and follow up on insurance claims, including denials and appeals.

The role involves reviewing Explanation of Benefits, handling underpayments, preparing adjustments and refunds, data entry, supporting patient calls, and generating reports while adhering to Medicare, Medicaid and managed care contracts. Candidates should know current ICD-10 and CPT codes and exhibit strong communication skills and