Remote Claims Corrections Specialist

Astera Cancer Care; United States; On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Remote-friendly

Job summary

OneOncology is seeking a Claims Corrections Specialist to adjust charges, fix incorrect payments, and correct billing errors under the guidance of the RCM Manager. You will resolve payer denials, monitor trends, and support efficient revenue cycle workflows while maintaining thorough documentation.

Ideal candidates have a background in medical billing and ICD/CPT coding, with strong data entry speed and customer-service mindset.

Qualifications

• Knowledge of medical billing, HCPCS, CPT and ICD codes.
• Broad knowledge of Revenue Cycle Management.
• Alpha Numeric data entry experience with speed and accuracy.
• Ability to work in a production environment accurately achieving performance objectives.
• Proficient in end-user computer applications regarding productivity (MS Word, Excel, Outlook), billing and other medical information systems.
• Ability to operate various types of office equipment.
• Ability to work effectively with all levels of management and other colleagues, demonstrating initiative and mature judgment.
• Excellent customer service skills.
• Effective verbal and written communications, including active listening skills and skills in presenting findings and recommendations.
• Attendance is an essential job function.

Responsibilities

• Update charges within the Practice Management system due to primary insurance changes, billing errors and/or payment errors.
• Reappoint charges related to secondary or tertiary insurance changes.
• Resolve file rejections from payers in a timely manner.
• Work tasks related to Insurance changes and denials promptly.
• Interpret Insurance payments, denials, and reprocesses from explanation of benefits.
• Submit Corrected Claims following payer guidelines as it relates to insurance denials.
• Work and track assigned projects as instructed by RCM Manager.
• Maintain documentation and tracking mechanisms related to errors and insurance changes.
• Work closely with RCM Manager and RCM teams to maintain excellent communication and efficient workflows.
• Other duties as assigned by the RCM Manager.
• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Skills

Medical billing

ICD/CPT coding

Data entry

Customer service

Communication

Education

High School diploma or equivalent

Job description

OneOncology is seeking a Claims Corrections Specialist to adjust charges, fix incorrect payments, and correct billing errors under the guidance of the RCM Manager. You will resolve payer denials, monitor trends, and support efficient revenue cycle workflows while maintaining thorough documentation.

Ideal candidates have a background in medical billing and ICD/CPT coding, with strong data entry speed and customer-service mindset.