Billing Representative (Administrative)
Join a world class team and help to bring cancer treatment HOME!
Highlands Oncology began in 1996 with three physicians and a desire to change the face of oncology care in our community. Dr. Malcolm Hayward, Dr. Dan Bradford, and Dr. Thad Beck knew that patients do better at home, in the community where they live and work, and where their support system is already in place. In furthering that goal, Highlands has grown with the region from a single location 26 years ago, to 6 locations in Northwest and Northcentral Arkansas today employing more than 750 diverse team members.
As Northwest Arkansas continues to grow, so must the services and providers available in the region. Highlands Oncology is committed to remaining on the cutting edge to ensure our community has access to the very best cancer care. What we have is something quite unique right here in our own backyard with a caring multidisciplinary team focused on treating patients like family.
Job Summary: The Billing Representative plays a vital role in all processes related to billing, charges, and insurance associated to patient accounts and treatments within Radiation Oncology.
Job Duties / Responsibilities:
Prepare and enter all radiation chargers after verified and validated.
Assist with the collection of radiation charges.
Investigate and handle insurance denials from all carriers and submit appropriate documentation for appeals. Be able to work outstanding claims and denials.
Provide the medical records requests from all carriers to substantiate payment of claims.
Meet with and assist patients with statements and Cancer Policy questions.
Assist with tracking hospital and rehab facility inpatients for appropriate billing and send out monthly statements.
Collaborate with Physics, Physicians, or Medical Records for requested data and complete the mailing or transfer of information.
Help develop financial reports and treatment statistics reports for Administration and Physicians.
Assist others in the billing department with reporting, coding and compliance, and MIPS.
Assist with keeping track of documentation needed from doctors for billing, if necessary.
Assist with prior authorizations, when necessary.
File appeals as necessary.
Directly communicate with insurance representatives, internal and external customers.
Maintain an updated working knowledge of all insurance carriers requirements and billing
parameters.
Maintain patient and clinic confidentiality (HIPAA) and comply with all organizational policies and procedures.
Attend all necessary financial and administrative meetings as designated by management or physicians.
