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7 days ago
We are seeking a seasoned professional to fill an oncology billing and collections role. The ideal candidate will have at least 3 years of experience in this field, with excellent communication skills and the ability to handle complex claim resolutions while ensuring compliance with industry standards.
Key Responsibilities:- 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 HIPAA and healthcare regulations at all times.
- 3+ years of experience in US healthcare customer service.
- 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.
- Knowledge of EOBs, remittance advice, and claims adjudication process.
- Ability to work independently and meet deadlines.
- Proficiency with healthcare billing software and MS Office tools.
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