Billing Specialist

Overview

Regional Cancer Care Associates (RCCA) is looking for an exceptional Billing Specialist to join the team. This position is responsible for all claim submissions, which includes verifying accuracy of charges and patient demographic information on claim detail. Responsible for timely follow-up with patients and third-party payors. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. This individual must also possess strong multi-tasking abilities and bring positivity and passion to their work. If you want to join a team that is on the cutting edge of cancer care, while always putting the patient first, we want to hear from you! While some experience is preferred, we are very open to new grads looking to explore oncology care.

Employment Type: Full Time

Benefits: M/D/V, Life Ins., 401(k)
Location: Sparta, NJ

Responsibilities

• Collects and reviews all patient insurance information needed to complete the billing process.
• Completes all necessary insurance forms (i.e. HCFA 1500, Blue Cross/Blue Shield, UMWA, Medical Assistance, Medicare, etc.) to process the proper billing information in a timely manner as required by all third party payors.
• ransmits daily all electronic claims to third party payors.
• Researches and resolves any electronic claim delays within 24 hours of exception report print date.
• Submits all paper claims and supporting documentation as required by payors. Files all claims, documentation, etc. in patient financial files.
• Resolves patient complaints and requests regarding insurance billing and initiates accurate account adjustment. Follows all billing problems to conclusion.
• Resubmits insurance claims as required. Reports any trends/delays to supervisor.
• Processes any necessary insurance/patient correspondence. Mails accurate statements to patients within 24 hours of print date.
• Provides all necessary documentation (on or with HCFA1500) required to expedite payments. This includes demographic, authorization/referrals, UPIN number, and referring doctors. Submits claims within 24 hours of print date.
• Obtains appropriate medical records, with patient and/or responsible party authorization on file, as they relate to the billing process.
• Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation.
• Communicates effectively to payors and/or claims clearinghouse to ensure accurate and timely electronically filed claims as per department guidelines.

Qualifications

• High school graduate or equivalent.
• Position is entry level and requires 2-3 years experience in a medical business office setting.