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5 days ago
We are seeking a skilled Oncology Collector to join our team. This is a critical role that requires strong communication and problem-solving skills, as well as the ability to navigate complex billing and claims processes.
Key Responsibilities:
- Establish and maintain positive relationships with insurance companies to ensure timely resolution of oncology-related claims.
- Review and analyze denied or underpaid oncology claims, taking corrective actions to optimize reimbursement.
- Ensure accurate and timely follow-up on unpaid claims, resubmissions, and appeals.
- Collaborate with billing, coding, and clinical teams to address claim discrepancies and optimize workflow.
- Maintain detailed records of all calls, claim status, and resolutions.
- Meet daily/weekly productivity and quality targets as per established standards.
- Ensure compliance with industry regulations, including HIPAA, at all times.
Required Qualifications & Skills:
- 3+ years of experience in Oncology billing and collection 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.
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