Billing Specalist

at  Alliance Cancer Specialists

Overview:
Alliance Cancer Specialists, the largest community-based oncology practice in Southeastern PA, is growing our Operations team! We are seeking a full-time Billing Specialist. The perfect candidate will be a compassionate, detail-oriented individual excited join our hardworking team here at Alliance. This position will be on-site at the Trevose Business office.

MINIMUM QUALIFICATIONS:

High school diploma or equivalent required. Minimum of two (2) years medical billing and payment specialist or equivalent experience required. Medical coding experience preferred. Proficiency with computer systems and MicroSoft Office (Word and Excel) required. Working knowledgeable of state, federal, and third party claims processing required. Must successfully complete required e-learning courses within 90 days of occupying position.

• Collects patient documentation and charts for claim submission.
• Ensures claim forms are completely and accurately filled out.
• Updates and maintains patient billing data and ensures documents are current.
• Reviews patient charts for completeness.
• Contacts clinical staff for clarification on procedures or diagnosis and on missing information.
• Enters charges, processes, and submits insurance claims to third party payer.
• Completes data entry of the charges into Practice Management System.
• Completes review of interface transactions and resolution of TES edits.
• Verifies that initial claim is accepted by third party payers.
• Reviews reports for claim denials.
• Identifies and reports any payer trends, denial patterns, and delays to management.
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient’s records and collections.
• Responsible for maintaining current billing, coding, and standard operating procedures (SOP) files as a desk reference.
• Other duties as requested or assigned.
• May perform payment responsibilities