Medical Billing Specialist

OneOncology is empowering community oncologists to shape the future of cancer care through a patient-focused, physician-driven, and technology-enhanced model aimed at improving the lives of everyone affected by cancer. Our team is bringing together industry leaders to support OneOncology’s mission and vision.

Why join us? This is an exciting time to be part of OneOncology. Our values-driven culture embodies the enthusiasm of a startup, backed by experienced leaders in oncology, technology, and finance. We’re seeking talented, motivated individuals who are passionate about improving and building new processes to support the important work of community oncologists and the patients they serve.

Job Description:

The Medical Billing Specialist will work under the direct supervision of the Medical Billing Manager. The role involves all aspects of charge capture for Medical Oncology, including accurate and timely entry and review of charges, as well as charge auditing. The ideal candidate will have expertise in medical coding and insurance billing, along with a strong understanding of insurance reimbursement processes and regulations.

Responsibilities:

• Review, audit, and manipulate charges from interfaced files to ensure timely and accurate charge capture for billing.

• Audit and manually enter charges for Pathology, Molecular, Psychology, Genetic Counseling, and other services into the practice management system, and communicate any outstanding charges or questions with clinical staff.

• Run and audit reports to ensure all required billing information is received and accurately captured in the practice management system.

• Create daily charge files from lab application software to ensure proper charge capture.

• Reconcile scheduled appointments to ensure charge capture and communicate any outstanding billing issues with clinical staff and/or providers as needed.

• Maintain open communication with clinical staff and RCM teams in a collaborative manner to ensure timely and accurate charge posting.

• Review medical records as needed to ensure accurate coding, including diagnosis, procedures, and modifiers.

• Work daily on assigned Unity tasks to resolve items identified by ACE claim edits, rejections, denials, collectors, or other RCM teams.

• Review, interpret, and apply knowledge of billing guidelines and medical policies.

• Collaborate with team members to enhance personal knowledge and abilities as assigned by management.

• Work autonomously while maintaining a team-oriented mindset to ensure timely and accurate charge capture.

• Maintain a complete understanding of HCPCS/ICD/CPT Oncology coding and specific carrier requirements.

• Follow policies and procedures outlined by management to ensure process standardization.

• Perform additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Essential Competencies:

• Attendance is critical to maintain productivity and meet goals.

• Detailed knowledge of billing, HCPCS, CPT, and ICD codes.

• Ability to work effectively with all levels of management and colleagues, demonstrating initiative, sound judgment, and a customer service orientation.

Salary Range: $20 – $24 per hour

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