We have an immediate opening for a Billing Specialist for Northwest Oncology. This is a full time, benefited position located in Dyer.
Northwest Oncology is the most advanced oncology group in Northwest Indiana. Our physicians have over 50 years of combined experience and received their training at highly acclaimed academic institutions in Chicago. Our Gynecologic Oncology team offers an integrative approach to the diagnosis, treatment and surgical management of women cancers.
Under general supervision, prepares and submits patient claims to appropriate third party payers. Reviews claims to ensure that payer specific billing requirements are met. Resolves routine and non-routine patient billing inquiries and problems. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology*s Shared Values.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
-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.
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.
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.