Oncology Revenue Cycle Specialist

OneOncology, LLC; United States; On-site; USD 45,000 - 65,000; Full time

Job summary

OneOncology, LLC is seeking a detail‑oriented Medical Billing Specialist to manage outpatient oncology claims, review denials, and ensure timely reimbursements. You will work across payer portals, EHRs, and HCPCS coding to resolve unpaid, underpaid, or denied claims while maintaining HIPAA compliance.

Responsibilities include researching claim status, preparing appeals with supporting documentation, following up through final payer determination, and collaborating with billing, coding, and

Qualifications

• Experience handling insurance accounts receivable for oncology claims.
• Proficiency with payer portals, EOBs/ERAs, and remittance advice.
• Ability to identify and resolve denials related to medical necessity, prior auth, and coding.

Responsibilities

• Work assigned insurance accounts receivable for unpaid, underpaid, and denied Medical Oncology claims.
• Review accounts to determine why claims have not been processed or paid appropriately.
• Research claim status using payer portals, electronic systems, remittance information, EOBs/ERAs, and payer communication.
• Identify and resolve denials involving medical necessity, prior authorization, eligibility and coverage, timely filing, coding/modifier issues, and related areas.
• Correct and resubmit claims when appropriate.
• Prepare and submit payer reconsiderations and appeals with supporting documentation.
• Follow up on appeals and reconsiderations through final payer determination.
• Review reimbursement to identify potential underpayments and discrepancies.
• Maintain compliance with HIPAA and payer requirements.

Skills

Accounts receivable

Denials resolution

Payer communications

Research and analysis

HIPAA compliance

Education

Medical Billing Certification

CODING/CPC credential

Tools

Payer portals

EHR systems

Billing software

Job description

OneOncology, LLC is seeking a detail‑oriented Medical Billing Specialist to manage outpatient oncology claims, review denials, and ensure timely reimbursements. You will work across payer portals, EHRs, and HCPCS coding to resolve unpaid, underpaid, or denied claims while maintaining HIPAA compliance.

Responsibilities include researching claim status, preparing appeals with supporting documentation, following up through final payer determination, and collaborating with billing, coding, and