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Maryland Oncology Hematology · 3 weeks ago

Billing Specialist II

Garnet Valley, PA

Full-time

Onsite

Mid Level

$19/hr - $29/hr

3+ years exp

Maryland Oncology Hematology is establishing a new Central Billing Office to enhance its revenue cycle functions. The Billing Specialist II will be responsible for claim submissions, ensuring accuracy in charges and patient information, and supporting compliance with billing standards.

Health CareHospitalMedicalOncology

Responsibilities

Review and validate charges interfaced from the EHR or ancillary systems before final posting

Verify coding completeness and appropriate provider documentation to support all charges , including validating modifiers, diagnosis-to-procedure compatibility, and charge-level coding accuracy

Reconcile incoming charge interfaces daily to identify missing, duplicate, or incomplete charges and maintain logs /reconciliation reports to ensure all encounters and services are accounted for

Monitor system edits, charge holds, and scrubber errors to ensure timely correction and submission of claims

Assist in internal audits or pre‑billing checks to minimize billing errors and claim denials

Coordinate with clinicians, coders, and revenue cycle staff to ensure complete and accurate charge capture, communicate any documentation deficiencies or coding concerns to appropriate personnel , and provide feedback to management regarding interface issues or workflow improvements

Navigate multiple billing systems, clearinghouses, and EHR/PMS platforms efficiently

Utilize system reports to identify unbilled encounters, missing charges, or charge lag patterns

Ensure all charge entry and data handling practices meet HIPAA, payer, and compliance requirements according to SOP

Protect patient confidentiality and maintain secure, accurate financial and clinical information

Any other billing/administrative duties assigned by billing manager

Qualification

Medical billing softwareCPT/HCPCS knowledgeICD-10 knowledgeOncology billing guidelinesMicrosoft Office proficiencyMedical office experienceAttention to detailCommunication skillsTeam collaboration