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Medical Oncology Billing Specialist

Job Description - Medical Oncology Billing Specialist


Job Duties:

  • Process and follow-up on insurance claims to include denials & appeals.
  • Review Explanation of Benefits (EOBs) for disallowed or underpaid claim discrepancies
  • Prepare adjustments\refunds requests for accounts, as necessary.
  • Data Entry
  • Assist in patient phone calls.
  • Prepare reports as assigned.
  • Comply with all rules, regulations and procedures of the practice, state, and federal adherence.
  • Perform any other duties as assigned by Supervisor or Management

Requirements

Physical Requirements:

Requires sitting for extended periods. Some bending, stretching and stooping required. Manual dexterity enough to use a keyboard and calculator. Normal range of hearing and vision and verbal communication is required. Use of a telephone is required.

Performance Requirements:

Knowledge of billing and insurance practices and procedures as well as regulations including Medicare, Medicaid, and third-party insurance companies including managed care contracts. Knowledge of current ICD-10 and CPT codes is required. Strong communication skills are required.


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