Remote Medical Billing & Insurance Specialist (Oncology)

The US Oncology Network; Teaneck Township (NJ); Remote; USD 26,000 - 40,000; Full time

Benefits offered by this job

Health plan

Dental plan

Vision plan

Wellness program

HSA/FSA

401(k)

Life insurance

Short-term disability

Long-term disability

Employee Assistance Program

PTO & holidays

Tuition discounts

Job summary

Regional Cancer Care Associates (RCCA) in Teaneck, NJ seeks a detail-oriented Insurance Specialist to support accurate billing, timely payments, and exceptional service for oncology patients. The role offers full-time hours, remote work options, and a comprehensive benefits package.

The candidate will monitor delinquent accounts, review denied claims, and coordinate with patients, physicians, and payers to ensure prompt resolution and proper documentation.

Qualifications

• High School diploma or equivalent required.
• 4 years combined medical billing and payment experience required.
• Knowledge of medical coding, preferably oncology coding.
• Knowledge of state, federal, and third party claims processing required.
• Knowledge of state & federal collections guidelines.
• Must successfully complete required e-learning courses within 90 days of occupying position.

Responsibilities

• Monitors delinquent accounts and performs collection duties
• Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, and resubmits claim to payer
• Reviews payment postings for accuracy and to ensure account balances are current
• Works with co-workers to resolve payment and billing errors
• Monitors and updates delinquent accounts status
• Recommends accounts for collection or write-off
• Verifies existing patients have necessary referral and/or authorization documentation prior to examination date
• Contacts and follows up with patient’s physician for any missing or incomplete documentation
• Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations
• Answers patient payment, billing, and insurance questions and resolves complaints
• May refer patients to Patient Benefits Representative to set up payment plans
• Contacts third party payors to resolve payor issues, expedite claim processing, and maximize medical claim reimbursement
• Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regard to patient records
• Performs other duties as requested or assigned

Skills

Medical billing

Payment processing

Medical coding

Collections guidelines

HIPAA compliance

E-learning

Education

High School diploma or equivalent

Job description

Regional Cancer Care Associates (RCCA) in Teaneck, NJ seeks a detail-oriented Insurance Specialist to support accurate billing, timely payments, and exceptional service for oncology patients. The role offers full-time hours, remote work options, and a comprehensive benefits package.

The candidate will monitor delinquent accounts, review denied claims, and coordinate with patients, physicians, and payers to ensure prompt resolution and proper documentation.