Billing Specialist

The US Oncology Network is looking for a Billing Specialist to join our team at Texas Oncology! This full time hybrid remote position will support our Central Business Office at 3001 E President George Bush Hwy Richardson, TX 75082. This position will work Monday - Friday and also requires the candidate to live in the state of Texas.

As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

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.

What does the Billing Specialist do?

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.

The 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 HIPAA 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.

The ideal candidate for the position will have the following background and experience:

• 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.

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 may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

Work Environment:

The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.