Oncology Revenue Cycle Specialist

Peninsula Radiation; Tyler (TX); Hybrid; USD 42,000 - 66,000; Full time

Job summary

Peninsula Radiation is seeking a Patient Advocate to manage the billing cycle for assigned client sites by working the 4 C’s: Charges, Claims, Cash, and Collections to achieve Gold Standard Results. Responsibilities include reviewing charges for accuracy, submitting clean claims, posting and reconciling payments, and resolving insurance and patient accounts receivable to payment resolution.

The role requires mastery of radiation oncology billing and Power BI, plus strong communication and ENCORE

Qualifications

• Mastery of radiation oncology-specific procedure codes, terminology, payer trends and billing requirements
• Proficient in Microsoft Office Suite and related software
• Experience in healthcare billing and patient accounts receivable processes
• Strong communication skills and ability to handle multiple tasks
• Demonstrates ENCORE values in communications

Responsibilities

• Demonstrates mastery of radiation oncology-specific procedure codes, terminology, payer trends and billing requirements
• Mastery of Power BI
• Perform daily review of charges queued to go out to third party payers for clean claim submission
• Post incoming insurance and patient payments daily and ensure payments reconcile to client(s)
• Manage AR by working denials and delinquent insurance balances
• Evaluate, prioritize, and perform AR follow-up work through phone calls, appeals, claim corrections and re-files as needed to resolve A/R balances
• Document accurate collection activity for reporting and tracking
• Knowledge of insurance plans and patient payment options available
• Understands how to read the patient’s ledger and correct reassignment of coinsurance, co-payments, and deductibles to the patient
• Answer incoming calls on or before the third ring
• Follows patient balance protocol and provides support with patient questions, and requests and assists patients with creating payment plans and/or taking credit card payments
• Gather, analyze, and communicate monthly accounting summaries and closing reports for management and client review and communicate to client in a timely manner
• Familiarity with RBS Revenue Cycle Structure - Clients and Physicians
• Stays current on training processes and developments within the company
• Demonstrates deep understanding of process reviews and comes up with innovative ideas
• Perform additional duties as assigned by management

Skills

Power BI

Communication

Attention to detail

Problem solving

Education

High School Diploma

Tools

Microsoft Office Suite

Job description

Peninsula Radiation is seeking a Patient Advocate to manage the billing cycle for assigned client sites by working the 4 C’s: Charges, Claims, Cash, and Collections to achieve Gold Standard Results. Responsibilities include reviewing charges for accuracy, submitting clean claims, posting and reconciling payments, and resolving insurance and patient accounts receivable to payment resolution.

The role requires mastery of radiation oncology billing and Power BI, plus strong communication and ENCORE