Theoncologyinstitute
Radiation Oncology Collections and Billing
Cerritos, California, United States. Posted 17 days ago
The role
This person ensures radiation oncology services are billed accurately, compliantly, and timely. They validate codes against clinical documentation and manage claim denials, appeals, and collection activity.
What you will do
- Review and validate radiation oncology charges, documentation, and ICD-10, CPT, and HCPCS coding.
- Submit clean claims and resolve billing edits, rejections, denials, underpayments, and reimbursement discrepancies.
- Monitor accounts receivable, aging, filing deadlines, and work queues.
- Collaborate with clinical, coding, authorization, and revenue cycle teams.
- Research payer policies, Medicare guidelines, and regulatory updates.
- Analyze billing and denial trends and support process improvements.
- Maintain accurate account documentation and comply with HIPAA and billing regulations.
- Meet established productivity, quality, denial management, and collection performance goals.
- Complies with company policies and additional duties as assigned.
Required qualifications
- 3-5 years of recent experience in radiation oncology billing and collections.
- Active ROCC (Radiation Oncology Certified Coder) certification.
- Additional billing or coding credential such as CPC, CPB, CCS, CCS-P, or RHIT/RHIA.
- Experience billing and collecting in a multi-state, multi-site oncology organization.
- Experience managing radiation oncology claims, reimbursement, and accounts receivable.
- Experience developing billing system edits, standardized workflows, payer-specific billing guidance, or clinic education.
- Experience reviewing and validating ICD-10, CPT, and HCPCS codes before claims are submitted.
- Strong understanding of radiation oncology billing, documentation, charge capture, modifiers, medical necessity requirements, and payer rules.
- Ability to review and interpret EOBs, remittance advice, claim status updates, and payer policies.
- Proficiency with EHRs, practice management and billing software, clearinghouse and payer portals, coding tools, and Microsoft Office applications.
About the company
Starling Oncology (NASDAQ: STLN) delivers highly specialized, value-based cancer care in the community setting. Formerly known as The Oncology Institute, it has more than 100 clinics and network locations across five states.