Billing Specialist - Business Office

Overview:
At Comprehensive Cancer Centers of Nevada (CCCN) a distinguished team of doctors, researchers, nurses and healthcare professionals have provided patients with groundbreaking treatments on the healing edge of medicine since 1974. Our team is dedicated to providing the most effective treatments, both existing and emerging, in order to diagnose and successfully treat cancer and blood disorders. We support this goal with state-of-the-art facilities across Southern Nevada, all of which integrate the latest diagnostic, therapeutic and research capabilities. CCCN is dedicated to patient-centered care, advancing innovation, discovery, and improving outcomes.

Career Opportunity:

Comprehensive Cancer Centers of Nevada has an exciting opportunity for a Billing Specialist at our Business Office in Henderson, NV. The Billing Specialist works within a team to prepare, submit and review claims under general supervision.

Scope :

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.

Responsibilities:
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 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

Qualifications:
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
• CPC Preferred

Successful candidates will thrive in a fast paced, rapidly changing environment and have a passion for caring for their patients.

Ready For Your Next Career Challenge? We'd Love to Hear from You!
If you possess the above qualifications and a desire to make a difference, we invite you to submit your resume and apply. In addition to a great career opportunity, we offer excellent benefits, a team environment, professional development, and the chance to be part of a nationwide network dedicated to fight the war against cancer. To apply please click on the "Apply" link.

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. This employer participates in E-Verify.