Billing Specialist

Employment Type: Full Time

In-Office Position

Benefits: M/D/V, Life Ins., 401(k)

JOB SCOPE: Under general supervision, the Billing Specialist is responsible for all claim submissions, which includes verifying accuracy of charges and patient demographic information on claim detail. Responsible for timely follow-up with patients and third-party payers. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

HOURLY RANGE:

$19.00 - $29.00

The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer!
About The US Oncology Network The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visitwww.usoncology.com. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.

Join Affiliated Oncologists as a Billing Specialist!

We are pleased to announce the establishment of our new Central Billing Office (CBO), created to support the continued growth and operational needs of our multi-specialty oncology practice. This dedicated department will serve as a centralized resource for revenue cycle functions, with a focus on accuracy, consistency, and high-quality service for both patients and clinical teams.

As cancer care grows more complex, so does the financial journey that accompanies it. Our CBO is being built to meet that challenge with innovation and a commitment to operational excellence. We're assembling a team of driven, knowledgeable professionals who are ready to streamline processes, optimize reimbursement, and support our clinical teams for overall practice success.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Review and validate charges interfaced from the EHR or ancillary systems before final posting.

• Verify coding completeness and appropriate provider documentation to support all charges, including validating modifiers, diagnosis-to-procedure compatibility, and charge-level coding accuracy.

• Reconcile incoming charge interfaces daily to identify missing, duplicate, or incomplete charges and maintain logs/reconciliation reports to ensure all encounters and services are accounted for.

• Monitor system edits, charge holds, and scrubber errors to ensure timely correction and submission of claims.

• Assist in internal audits or prebilling checks to minimize billing errors and claim denials.

• Coordinate with clinicians, coders, and revenue cycle staff to ensure complete and accurate charge capture, communicate any documentation deficiencies or coding concerns to appropriate personnel, and provide feedback to management regarding interface issues or workflow improvements.

• Navigate multiple billing systems, clearinghouses, and EHR/PMS platforms efficiently.

• Utilize system reports to identify unbilled encounters, missing charges, or charge lag patterns.

• Ensure all charge entry and data handling practices meet HIPAA, payer, and compliance requirements according to SOP

• Protect patient confidentiality and maintain secure, accurate financial and clinical information.

• Any other billing/administrative duties assigned by billing manager.

MINIMUM QUALIFICATIONS:

• High School Diploma or GED required.

• Bachelor's degree in Business Administration or equivalent preferred.

• Minimum three years experience in a medical business office setting strongly preferred.

• Proficiency with computer systems and Microsoft Office Outlook, Word, Power Point, and Excel required.

• Working knowledge of CPT/HCPCS and ICD10 required, and oncologyspecific billing guidelines preferred.

• Experience with medical billing software AthenaIDX strongly preferred.

• Experience in oncology strongly preferred.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, a calculator, telephone, copier and other such office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.