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Oncology Billing Specialist
2 weeks ago
Job Title: Account Representative Caller
We are seeking an experienced professional with a strong background in Oncology billing and collections.
- Contact insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.
- Review and analyze denied or underpaid oncology claims and take corrective actions.
- Ensure timely follow-up on unpaid claims, resubmissions, and appeals.
- Collaborate with billing, coding, and clinical teams to address claim discrepancies.
- Maintain accurate documentation of all calls, claim status, and resolutions.
- Meet productivity and quality targets as per standards.
- Ensure compliance with healthcare regulations at all times.
- 3+ years of AR calling experience in US healthcare.
- Minimum 3 years of experience in Oncology billing & AR processes.
- Strong understanding of oncology-specific coding, modifiers, and payer guidelines.
- Excellent verbal and written communication skills with the ability to handle difficult conversations professionally.
- Knowledge of EOBs, remittance advice, and claims adjudication process.
- Ability to work independently in a remote setting and meet deadlines.
- Proficiency with healthcare billing software and MS Office tools.
The ideal candidate should have excellent communication skills and the ability to handle complex claim resolutions while ensuring compliance with industry standards.