Proton Therapy Billing & Coding Specialist

OneOncology; United States; On-site; USD 42,000 - 62,000; Full time

Job summary

OneOncology is seeking a Medical Coding and Billing Specialist to write and maintain coding and billing rules in the practice management system and to review and import daily charges for Radiology Authorization and daily claim filing. Excellent verbal and written communication skills are required.

The role works under the supervision of the respective team manager. The position involves reviewing insurance coverage for proton therapy, entering charges accurately for proton, radiation and

Qualifications

• Bachelor's degree preferred.
• Minimum two years' charge entry/billing experience.
• 1+ year prior authorization experience.
• Extensive knowledge of CPT, HCPCS, ICD-9 coding and billing guidelines.
• Proficiency in Microsoft Excel and billing compliance.

Responsibilities

• Review and verify patient insurance coverage and eligibility for proton therapy treatments.
• Verify charges for proton, radiation, and radiology services and enter into the practice management system for reimbursement.
• Generate and submit accurate and timely claims for proton therapy, radiation therapy, and radiology services.
• Monitor and track claims through the billing process to ensure timely payment and identify roadblocks.
• Assist with investigation and resolution of claim rejections, denials, or appeals related to proton therapy.
• Review insurance policies and regulations to ensure compliance with billing requirements.

Skills

CPT coding

HCPCS coding

ICD-9 coding

Excel

Medical billing

Education

Bachelor's degree preferred

Job description

OneOncology is seeking a Medical Coding and Billing Specialist to write and maintain coding and billing rules in the practice management system and to review and import daily charges for Radiology Authorization and daily claim filing. Excellent verbal and written communication skills are required.

The role works under the supervision of the respective team manager. The position involves reviewing insurance coverage for proton therapy, entering charges accurately for proton, radiation and