Remote Medical Billing Specialist – Oncology (Southern NV)

Comprehensive Cancer Centers of Nevada; Henderson (NV); À distance; USD 42 000 - 62 000; Plein temps

Résumé du poste

Comprehensive Cancer Centers of Nevada is seeking a Billing Specialist for a remote role limited to Southern Nevada. The position supports the Revenue Cycle team by submitting patient claims, resolving billing inquiries, and ensuring payer requirements are met.

Responsibilities include collecting documentation, entering charges into the Practice Management System, reviewing claims for denials, and maintaining up-to-date SOPs while complying with HIPAA and state laws.

Qualifications

• High school diploma or equivalent required.
• Minimum of two (2) years medical billing and payment specialist or equivalent experience required.
• Medical coding experience preferred.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.
• Working knowledge of state, federal, and third-party claims processing required.
• Must successfully complete required e-learning courses within 90 days of occupying position.

Responsabilités

• Collects patient documentation and charts for claim submission. Ensures claim forms are completely and accurately filled out.
• Reviews patient charts for completeness. Contacts clinical staff for clarification on procedures or diagnosis and on missing information.
• Enters charges, processes, and submits insurance claims to third party payer. Completes data entry of the charges into Practice Management System. Completes review of interface transactions and resolution of TES edits.
• Verifies that initial claim is accepted by third party payers. Reviews reports for claim denials.
• Identifies and reports any payer trends, denial patterns, and delays to management.
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient’s records and collections.
• Responsible for maintaining current billing, coding, and standard operating procedures (SOP) files as a desk reference.
• Other duties as requested or assigned. May perform payment responsibilities.

Connaissances

Medical billing

Microsoft Office (Word & Excel)

Claims processing

HIPPA compliance

Customer service

Formation

High school diploma or equivalent

Outils

Practice Management System

Description du poste

Comprehensive Cancer Centers of Nevada is seeking a Billing Specialist for a remote role limited to Southern Nevada. The position supports the Revenue Cycle team by submitting patient claims, resolving billing inquiries, and ensuring payer requirements are met.

Responsibilities include collecting documentation, entering charges into the Practice Management System, reviewing claims for denials, and maintaining up-to-date SOPs while complying with HIPAA and state laws.