Maryland Oncology Hematology · 1 month ago
Accounts Receivable Analyst II
Maryland Oncology Hematology is establishing a new Central Billing Office (CBO) to support their multi-specialty oncology practice. The Accounts Receivable Analyst II will be responsible for the accurate and timely collections of receivable accounts, analyzing claims, resolving discrepancies, and ensuring compliance with billing regulations.
Health CareHospitalMedicalOncology
Responsibilities
Analyze, monitor , and manage assigned A/R inventory, focusing on aged claims and high‑priority accounts
Review, research, and resolve claim denials, underpayments, and delayed reimbursements across commercial, Medicare, Medicaid, and specialty oncology payers
Work complex claim scenarios including bundling, medical necessity, infusion/chemotherapy billing rules, and prior authorization issues
Identify root causes of recurring denials and recommend workflow or process improvements
Collaborate with coding, charge entry, and clinical documentation teams to resolve coding discrepancies impacting A/R
Submit corrected claims, appeals, and reconsiderations following payer guidelines
Contact payers directly to obtain claim status, resolve processing issues, and escalate when necessary
Interpret and reconcile remittance advice (ERA/EOB) to ensure correct payment posting and account resolution
Monitor A/R trends as directed by the management team and provide feedback on systemic issues or revenue risks
Utilize reporting tools to track productivity, payer trends, denial patterns, and resolution outcomes
Ensure all account activity is fully documented in accordance with billing and audit requirements
Adhere strictly to HIPAA regulations and protect patient confidentiality
Maintain up‑to‑date knowledge of oncology billing guidelines, payer policies, and regulatory requirements
Any other billing/administrative duties assigned by billing manager
Qualification
Required
High School Diploma or GED required
Proficiency with computer systems and MicroSoft Office Outlook, Word, Power Point, and Excel required
Working knowledge of CPT/HCPCS and ICD‑10 required
Adhere strictly to HIPAA regulations and protect patient confidentiality
Preferred
Bachelor's degree in Business Administration or equivalent preferred
At least two (2) years of A/R experience strongly preferred
Oncology-specific billing guidelines preferred
Experience with medical billing software AthenaIDX strongly preferred
Experience in oncology strongly preferred
Benefits
Medical
Healthcare Reimbursement Accounts (HRCA)
Health Savings Accounts (HAS)
Dental
Vision
Life Insurance
Short-Term Disability (STD)
Long-Term Disability (LTD)
Employee Assistance Program (EAP)
Commuter Benefits
401(k)
Wellness Program
Company
Maryland Oncology Hematology
Maryland Oncology Hematology is a community based healthcare institution specialized in research and treatment of cancer patients.
Funding
Current Stage
Late StageRecent News
Maryland Daily Record
2024-12-17
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