Specialty Medical Biller

Roswell Park Comprehensive Cancer Center; Washington; On-site; USD 53,000 - 72,000; Full time

Job summary

Roswell Park Comprehensive Cancer Center is seeking an experienced Specialty Medical Biller to support billing, reimbursement, and claim management for advanced oncology treatments. You will work with clinical, coding, and revenue cycle teams to ensure accurate claims for procedures like BMT, CAR-T therapy, and Gamma Knife radiosurgery.

The starting annual salary is $62,477 with a comprehensive benefits package.

Qualifications

• Experience in healthcare billing, revenue cycle, or medical claims in oncology or complex procedures.
• Understanding of insurance requirements and prior authorizations.
• Experience with hospital/physician/oncology billing and reviewing documentation for accuracy.

Responsibilities

• Prepare and submit complex inpatient and outpatient medical claims.
• Ensure accurate billing for high-cost medications, biologics, implants, and oncology procedures.
• Review documentation, coding, and charges to support accurate reimbursement.
• Verify authorizations and ensure payer requirements are met before submitting claims.
• Investigate, resolve, and appeal denied claims.
• Monitor payer policies and reimbursement guidelines for compliance.
• Handle patient and payer inquiries with professionalism and compassion.
• Identify process improvements to reduce denials and revenue loss.
• Support audits and cross-department collaboration to optimize billing outcomes.

Skills

Healthcare billing

Revenue cycle

Medical claims

Insurance requirements

Payer policies

Documentation review

Problem solving

Multitasking

Communication

Education

Associate’s degree in HIM/related field

High School diploma + 5 years oncology billing experience

Job description

Title: Specialty Medical Biller Job Type: Regular Company: Roswell Park Comprehensive Cancer Center Department: Patient Accounts Time Type: Full time Weekly Hours: 37.5 FTE: 0.9375 Shift: First Shift (United States of America)

Summary

About the Role: At Roswell Park Comprehensive Cancer Center, every treatment, procedure, and breakthrough in care relies on a strong team working behind the scenes to support our patients and providers. We're looking for an experienced Specialty Medical Biller to help ensure accurate billing, reimbursement, and claim management for some of the most advanced cancer treatments available today. This role plays an essential part in supporting complex services such as Bone Marrow Transplant (BMT), CAR-T therapy, Gamma Knife radiosurgery, robotic-assisted procedures, and other specialized oncology treatments. Success in this role requires a strong understanding of medical billing, insurance requirements, and claims management, along with the ability to navigate complex reimbursement scenarios while maintaining a patient-centered approach. You'll work closely with clinical, coding, revenue cycle, and operational teams to help ensure patients receive the care they need while supporting the financial sustainability of a world-renowned cancer center.

The starting annual salary for this position is $62,477 and this can include a full comprehensive benefits package.

• full comprehensive benefits package.

What You’ll Do

• As a key member of our revenue cycle team, you will:
• Prepare and submit complex inpatient and outpatient medical claims
• Ensure accurate billing for high-cost medications, biologics, implants, and specialized oncology procedures
• Review documentation, coding, and charges to support accurate reimbursement
• Verify authorizations and help ensure services meet payer requirements before claims are submitted
• Investigate, resolve, and appeal denied claims
• Monitor payer policies and reimbursement guidelines to support compliance and billing accuracy
• Manage patient and payer billing inquiries with professionalism and compassion
• Identify opportunities to improve processes, reduce denials, and prevent revenue loss
• Support audits and compliance initiatives
• Partner with clinical, coding, and operational teams to optimize billing outcomes and the patient experience

What You’ll Bring

• You may be a great fit if you: Have experience in healthcare billing, revenue cycle, medical claims, or reimbursement services
• Understand complex insurance requirements, prior authorizations, and payer policies
• Have experience working with hospital, physician, specialty, or oncology-related billing
• Are comfortable reviewing medical documentation, coding, and claim details to ensure accuracy
• Enjoy solving problems and investigating complex reimbursement issues
• Can effectively manage multiple priorities and high-volume workloads
• Communicate clearly and confidently with patients, providers, insurance representatives, and colleagues
• Take pride in delivering accurate work while maintaining compliance and attention to detail
• Thrive in a collaborative environment where teamwork drives success

Who Will Be Successful in This Role

The most successful candidates are analytical, detail-oriented, and motivated by making an impact behind the scenes. They understand that accurate billing is more than a financial process. It helps ensure patients have access to life‑saving cancer treatments while supporting the continued advancement of cancer care. You will excel in this position if you enjoy:

• Solving complex reimbursement and claims challenges
• Working with highly specialized medical services
• Collaborating across departments to improve outcomes
• Learning and adapting to evolving payer requirements and healthcare regulations
• Contributing to a mission‑driven organization focused on patient care and innovation

Why You’ll Love Working Here

At Roswell Park, you’ll join a team driven by a shared mission: to eliminate cancer’s grip on humanity through research, treatment, and education. When you join us, you’ll find:

• Meaningful work that directly supports patients and their care journey
• Opportunities to contribute to a nationally recognized leader in cancer treatment and research
• A collaborative culture where expertise, innovation, and teamwork are valued
• Professional development and continuing education opportunities
• Supportive leaders and colleagues who are committed to helping you succeed
• A workplace where your work has a direct impact on advancing cancer care and improving lives

Qualifications

Required Education and Experience

1. Associate’s degree in Health Information Management, Business, or a related field and the equivalent of three (3) years of medical billing experience in oncology or complex procedural services; or
2. High School diploma or High School Equivalency diploma and the equivalent of five (5) years of medical billing experience in oncology or complex procedural services. NOTE: Degrees must be conferred by an accredited school, college, or university, or by an institution recognized by Roswell Park Comprehensive Cancer Center and/or Health Research Incorporated as adhering to acceptable educational standards.

Equal Employment Opportunity Statement

Roswell Park Cancer Institute Corporation (RPCIC) is committed to equal employment opportunity. We do not discriminate against employees, applicants, or job seekers on the basis of any characteristic protected by applicable federal, state, or local law. Employment decisions are based on qualifications, performance, and business needs. We are committed to maintaining a fair, respectful workplace where employees are valued for their contributions and supported in advancing our mission.

Reasonable Accommodation Request

RPCIC is committed to providing reasonable accommodations to qualified individuals with disabilities. If you need a reasonable accommodation for any part of the application process, employment process, or to perform your job, please contact [e-mail] and provide information about your request and preferred contact method.

Core Values

• Innovation
• Integrity
• Teamwork
• Commitment
• Compassion
• Respect

Historical Compensation Information Statement

Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at [phone] or via email at [e-mail].

Welcome to Roswell Park Comprehensive Cancer Center

America’s first cancer center founded in 1898 by Dr. Roswell Park. As one of the largest employers in Western New York, Roswell has over 3,300 employees, including over 200 physicians and scientists and 400 nurses. It’s a new era at Roswell Park. Leading the way in cancer research, treatment and education for more than a century, today Roswell Park is setting our course for a second century of extraordinary advances in cancer research and treatment. Equipped with the best facilities, the sharpest and most creative minds, and the single objective of curing cancer, we stand on the threshold of historic discovery.