What are the responsibilities and job description for the Medical Oncology Billing Specialist position at Palo Verde Hematology Oncology LTD?
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.