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Medical Oncology Billing Specialist at Palo Verde Hematology Oncology LTD

Phoenix, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Jun, 26

Salary

0.0

Posted On

26 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Claims Processing, Denial Follow-up, EOB Review, Data Entry, Patient Phone Calls, Reporting, Regulatory Compliance, ICD-10 Coding, CPT Coding, Communication Skills

Industry

Medical Practices

Description

Description Job Duties: Process and follow-up on insurance claims to include denials & appeals. Review Explanation of Benefits (EOBs) for disallowed or underpaid claim discrepancies Prepare adjustments\refunds requests for accounts, as necessary. Data Entry Assist in patient phone calls. Prepare reports as assigned. Comply with all rules, regulations and procedures of the practice, state, and federal adherence. Perform any other duties as assigned by Supervisor or Management Requirements Physical Requirements: Requires sitting for extended periods. Some bending, stretching and stooping required. Manual dexterity enough to use a keyboard and calculator. Normal range of hearing and vision and verbal communication is required. Use of a telephone is required. Performance Requirements: Knowledge of billing and insurance practices and procedures as well as regulations including Medicare, Medicaid, and third-party insurance companies including managed care contracts. Knowledge of current ICD-10 and CPT codes is required. Strong communication skills are required.

Responsibilities

The specialist will be responsible for processing and following up on insurance claims, including managing denials and appeals, and reviewing Explanation of Benefits for discrepancies. Duties also involve preparing necessary adjustments or refunds and assisting with patient phone calls.