OneOncology · 5 hours ago
Proton Billing Specialist
United States
Full-time
Remote
Mid Level
3+ years expOneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model. The Proton Billing Specialist will manage the billing process for proton therapy, radiation therapy, and radiology, ensuring accurate and timely billing while working closely with various stakeholders.
Health CareOncology
Responsibilities
Review and verify patient insurance eligibility and benefits for proton therapy treatments
Verify that all applicable charges for proton therapy, radiation therapy, and radiology services are entered timely and accurately into the practice management system allowing for clean claim submission
Audit charges and communicate with clinical and RCM teams to resolve any outstanding/pending charges ensuring timely and accurate billing
Generate and submit accurate and timely claims for proton therapy, radiation therapy, and radiology services to insurance payers
Delivers timely responses to emails and telephone messages as appropriate
Monitor and track claims through the entire billing process daily to ensure timely payment and identification of payer roadblocks
Assist with investigation and resolution of any claim rejections, denials, or appeals related to proton therapy treatments
Ability to review and interpret insurance guidelines and associated regulations relating to proton therapy treatments to ensure compliance with billing requirements
Work collaboratively with the proton therapy center's medical and pre-authorization teams to ensure accurate and complete billing for proton therapy and radiation therapy treatments
Maintain accurate and up-to-date records of billing activities in patient files and computer systems
Follows policies and procedures outlined by management to ensure standardization of processes
Ability to review and interpret radiation oncology medical records for accuracy as it relates to coding and billing
Educate clinical team on appropriate documentation requirements
Assist team members with responses to patient and insurance company inquiries about billing for proton therapy treatments in a timely and professional manner
Stay current with industry trends, changes to insurance coverage guidelines, and other developments that may impact the billing process for proton therapy and radiation therapy treatments
Recognizes problems or trends and provides suggestions to help find resolutions
Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer
Qualification
Required
High school diploma or equivalent required
Minimum of 3 years' experience in medical billing and coding required, preferably in an Oncology based healthcare setting
Coding Certification required (CPC, CMC, ROCC, etc)
Preferred
Bachelor's degree preferred
Radiation Oncology/Proton experience a plus
Company
OneOncology
OneOncology is a partnership of oncologists and industry leading experts driving the future of community-based cancer care in the US. It is a sub-organization of General Atlantic.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Cencora
2025-12-12Acquired
2023-04-20Secondary Market
Leadership Team
Davey Daniel
Chief Medical Officer
Recent News
2026-01-05
2025-12-18
Company data provided by crunchbase