Billing Specialist

Alliance Cancer Specialists is seeking an experienced Medical Billing Specialist for our to join our Trevose Admin office responsible for the accurate and timely submission of medical claims, verification of charges and patient demographic information, and followup with patients and thirdparty payors. This role plays a key part in ensuring timely reimbursement while maintaining compliance with payer requirements and organizational standards.

The Medical Billing Specialist supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.

• Collect and review patient insurance and demographic information necessary to complete the billing process
• Prepare and submit insurance claims accurately and timely using required forms (e.g., HCFA 1500, Medicare, Medical Assistance, Blue Cross/Blue Shield, UMWA, and other thirdparty payors)
• Transmit electronic claims daily and research/resolves electronic claim rejections or delays within 24 hours of exception report generation
• Submit paper claims and all required supporting documentation as required by payors
• File claims, documentation, and correspondence in patient financial records
• Follow up with insurance carriers and patients regarding claim status and payment resolution
• Resolve patient billing inquiries and complaints; initiate accurate account adjustments and follow issues through to resolution
• Resubmit claims as necessary and identify/report trends or delays to supervisor
• Process insurance and patient correspondence and mail patient statements within 24 hours of print date
• Provide complete and accurate documentation with claims, including demographic data, referrals, authorizations, provider identifiers, and referring physician information
• Obtain medical records with proper authorization as needed to support billing and reimbursement
• Maintain strict confidentiality regarding patient accounts and financial information
• Communicate effectively with payors and claims clearinghouses to ensure accurate and timely claim processing

Education

• High school diploma or equivalent required

Experience

• Minimum of three (3) years experience in a medical business office or billing environment

Skills & Abilities

• Strong attention to detail and accuracy
• Ability to organize, prioritize, and follow through on multiple tasks
• Effective written and verbal communication skills
• Ability to work independently and resolve billing issues efficiently
• Knowledge of medical billing forms, insurance processes, and thirdparty payor requirements
• Commitment to confidentiality and compliance standards

• Prolonged periods of sitting and computerbased work
• Frequent use of keyboard, calculator, telephone, copier, and other office equipment
• Occasional lifting of files or materials up to 30 pounds
• Ability to bend, stoop, and reach for files and supplies
• Vision correctable to 20/20 and hearing within normal range for telephone communication
• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions

• Officebased work environment
• Frequent interaction with staff, patients, insurance representatives, and the public
• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions