Medical Billing Specialist

Medical Billing Specialist Southwest Womens Oncology/Optimum Albuquerque, NM Job Details Full-time 11 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Health insurance authorizations Microsoft Excel Medical software CMS Word embeddings Patient advocacy Credit card payment processing CMS regulatory compliance Payment posting in medical billing systems Centers for Medicare & Medicaid Services (CMS) billing regulations Medical claims submission Productivity software Full Job Description Southwest Women's Oncology Team is growing fast and looking for a dedicated and driven Medical Billing Specialist to join their high performance team in New Mexico. Join the

Southwest Women's Oncology Team:

Southwest Women's Oncology is rapidly expanding and looking for a dedicated and driven Medical Billing Specialist to join their high-performance team. SWWO'S integrated team of healthcare professionals is committed to providing a safe, caring, and curative experience for their patients. Southwest Women's Oncology's sole intent is to cure cancer and achieve the best possible outcomes for their patients. This role is key to supporting SWWO'S growth by delivering high-quality, efficient, and innovative billing solutions. You'll be part of a dedicated team of professionals who work together to provide exceptional service to our patients and partners.

Position Responsibilities:

Actively follow up on delinquent insurance claims, ensuring timely resolution. Investigate and resolve discrepancies, claim denials, and handle appeals for all patient accounts. Address patient inquiries regarding billing, insurance, and payment concerns with empathy and professionalism. Oversee patient accounts, including collections and payment plans. Perform other related duties as assigned by management.

Qualifications:

Minimum of 3 years of experience in medical billing; oncology billing experience is highly preferred. In-depth understanding of third-party insurance, government payers, and physician billing/reimbursement processes. Strong knowledge of posted charges, payments, and adjustments. Proven experience with insurance precertification and verification processes. Familiarity with CMS billing guidelines and compliance. Experience working with patient advocacy programs. Ability to collaborate effectively in a team environment. Professional and service-oriented demeanor when handling patient calls. Oncology billing experience is preferred but not mandatory. Proficient in medical billing software, credit card payment processing, and Microsoft Office Suite (Word, Excel). Demonstrates a genuine passion for delivering exceptional care, consistently striving to exceed client expectations while ensuring their comfort, well-being, and satisfaction Our Dream Teammate will have access to: Competitive Salary Excellent Benefits; Medical, dental, vision, PTO, and 401K High Performance Concierge Culture Performance center complete with a full AI gym suite, recovery modalities, group fitness classes, body composition tracking, and state of the art aesthetic modalities.

Location:

Albuquerque, New Mexico Job Type:

Full-time