Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.

Job Description:

The Claims Corrections Specialist will report to OneOncology’s RCM Manager. This role is responsible for making corrections to any charges that are not posted correctly or that are not associated with the correct insurance. The Claims Corrections Specialist is also responsible for correcting incorrect payments, adjustments, billing errors and identifying issue trends.

Responsibilities

• Update charges within the Practice Management system due to primary insurance changes, billing errors and/or payment errors.

• Repoint charges related to secondary or tertiary insurance changes.

• Resolve file rejections from payers in a timely manner.

• Work tasks related to Insurance changes and denials promptly.

• Interpret Insurance payments, denials, and reprocesses from explanation of benefits.

• Submit Corrected Claims following payer guidelines as it relates to insurance denials.

• Work and track assigned projects as instructed by RCM Manager.

• Maintain documentation and tracking mechanisms related to errors and insurance changes.

• Work closely with RCM Manager and RCM teams to maintain excellent communication and efficient workflows.

• Other duties as assigned by the RCM Manager.

Key Competencies

• Knowledge of medical billing, HCPCS, CPT and ICD codes

• Broad knowledge of Revenue Cycle Management.

• Alpha Numeric data entry experience with speed and accuracy.

• Ability to work in a production environment accurately achieving performance objectives.

• Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), billing and other medical information systems.

• Ability to operate various types of office equipment.

• Ability to work effectively with all levels of management and other colleagues, demonstrating initiative and mature judgment.

• Excellent customer service skills.

• Effective verbal and written communications, including active listening skills and skills in presenting findings and recommendations.

Qualifications

• High School diploma or equivalent required

• One year of experience in directly related role preferred.

• Two years cash posting and/or medical billing experience in a physician practice setting required.

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