Job Description

Position Summary:

We are working with a specialized oncology clinic committed to compassionate and comprehensive cancer care, who is seeking a detail-oriented Billing and Credentialing Coordinator. This role is crucial in ensuring accurate and timely billing, as well as maintaining up-to-date provider credentialing for all healthcare professionals within the practice.

Key Responsibilities:

Billing Duties:

• Prepare, review, and submit insurance claims for oncology services (electronic and paper) in a timely and accurate manner.

• Work daily claim rejections and denials; follow up on outstanding claims with insurance companies and patients.

• Verify insurance eligibility and benefits prior to services rendered.

• Assist in managing patient billing inquiries and payment arrangements.

• Ensure compliance with all federal, state, and payer-specific billing and coding regulations.

• Collaborate with clinical staff to resolve coding issues and ensure proper documentation.

• Generate reports on billing performance, accounts receivable, and collection status.

Credentialing Duties:

• Complete and maintain provider credentialing and re-credentialing with insurance payers, and hospitals.

• Maintain detailed and organized credentialing files for all providers.

• Track credentialing and license renewal deadlines; ensure all documentation is up to date.

• Submit applications for new providers and manage updates for existing provider profiles.

• Serve as liaison between providers, payers, and regulatory agencies regarding credentialing processes.

Qualifications:

Experience:

o Minimum 2 years of experience in medical billing, preferably in oncology or specialty care.

o At least 1 year of experience in provider credentialing.

Skills & Abilities:

o Strong knowledge of CPT, ICD-10, and HCPCS coding.

o Familiarity with oncology-specific billing and payer requirements is a plus.

o Proficient with billing software and EHR systems.

o Excellent organizational and time management skills.

o Attention to detail with a high degree of accuracy.

o Strong communication and interpersonal skills.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
  

Work Location: In person

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