Radiation Billing Specialist

Central Care Cancer Center; Salina (KS); On-site; USD 65,000 - 80,000; Full time

Job summary

Central Care Cancer Center in Salina, KS seeks a Radiation Billing Specialist to manage complex insurance billing, claims processing and patient payment plans across radiation oncology services. You will analyze denials, prepare appeals, and collaborate with payer teams to resolve claims while ensuring chargem captures align with ASTRO and CMS guidelines.

The role requires a bachelor's degree and at least three years of medical billing experience, with strong EHR and billing software skills.

Qualifications

• 3+ years billing, coding or cost accounting in a medical service environment.
• Strong proficiency in medical billing software and EHR.
• Knowledge of CMS, ASTRO, payer guidelines.
• Ability to analyze denials and trends.

Responsibilities

• Manage insurance billing, claims processing and patient payment arrangements.
• Perform audits to ensure full charge capture and documentation completeness.
• Resolve claim edits/denials and prepare appeals with payer teams.
• Ensure billing practices align with ASTRO/CMS updates and payer guidelines.

Skills

Medical billing experience

Coding accuracy

Data analysis

EHR proficiency

Communication skills

Education

Bachelor's degree in Business Administration or related field

Equivalent years of experience

Tools

Epic

Billing software

Job description

The Radiation Billing Specialistis responsible for a variety of office and clerical tasks relating to insurance billing, claims processing, insurance follow-up, insurance appeals, and patient payment arrangements. Perform complex reviews and advanced clinical abstraction of Radiation Oncology services, including simulation, dose distribution treatment planning, and treatment delivery modality and complexity Assign CPT, HCPCS, and ICD-10 codes across radiation therapy modalities including 3D CRT, IMRT, Proton Therapy, Brachytherapy, and SRS (Gamma Knife) Validate treatment parameters, including monitor units, gantry angles, and control points, to ensure coding accuracy Reconcile physician prescriptions with delivered treatments to ensure alignment of technical and professional charges Review and validate KV imaging, CBCT imaging, and supporting documentation for compliant billing Complete end-of-course chart audits to ensure full charge capture and documentation completeness Resolve charge review, claim edit, and denial work queues within Epic Analyze denial trends related to CCI edits, MUE limitations, medical necessity requirements, and bundling issues Implement corrective actions to reduce denials and improve reimbursement outcomes Prepare appeal documentation and collaborate with payer teams to support claim resolution Identify systemic revenue cycle issues and recommend workflow or documentation improvements Ensure billing practices align with annual industry updates, including ASTRO billing standards Educate clinical teams regarding documentation requirements needed to support all submitted charges Maintain current knowledge of regulatory updates, including ASTRO and CMS rule changes Communicate effectively with physicians and clinical staff to provide education and feedback regarding coding and documentation issues Ensure compliance with CMS, NCCI, MUE, and payer-specific billing guidelines Identify compliance risks and escalate issues appropriately Requirements Bachelor's Degree Business Administration, Hospital Administration or related field preferred or equivalent years of experience in Radiation Billing. 3 years billing, coding, or cost accounting experience to include two years in a medical service environment, insurance or related field. Strongly proficiency in medical billing software, electronic health records (EHR), payer guidelines, and detailed data analysis.