Billing Specalist

Overview:

Alliance Cancer Specialists, the largest community-based oncology practice in Southeastern PA, is growing our Operations team We are seeking a full-time Billing Specialist. The perfect candidate will be a compassionate, detail-oriented individual excited join our hardworking team here at Alliance. This position will be on-site at the Trevose Business office.

THIS IS NOT A REMOTE POSITION.

Top Reasons To Work for Alliance Cancer Specialists:

Comprehensive benefits package for full-time employees including:

Medical, Dental, Vision, Life, and Disability insurance

401k Plan

Paid Time Off

Highly competitive pay

Day shift only. No evenings.

No weekends or major holidays.

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.

• 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.

MINIMUM QUALIFICATIONS:

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.

COMPETENCIES:

Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; accesses and uses other expert resources when appropriate.

Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands and shifting priorities

Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty and change; shows resilience in the face of constraints, frustrations, or adversity; demonstrates flexibility.

Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.

Commits to Quality: Emphasizes the need to deliver quality products and/other services; defines standard for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.

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 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:

Work will involve in-person interaction with co-workers and management and/or clients.