Billing Specialist

Billing SpecialistThe Billing Specialist is responsible for performing day-to-day billing activities for Urology, Radiation Oncology and Imaging services. This role focuses on accurate claim preparation, submission, and follow-up to ensure timely reimbursement, reduced denials, and compliance with payer requirements.Responsibilities / Essential FunctionsPrepare, review, and submit clean claims for Urology, Radiation Oncology and Imaging services.Research, correct, and resubmit rejected or denied claims.Verify authorizations, referrals, and provider credentials prior to submission.Apply payer-specific billing rules, LCDs/NCDs, and medical policies.Maintain accurate documentation of billing activity and any payer communications.Respond to inquiries from payers, patients, and internal teams professionally and timely.Collaborate with coders, providers, and leads to resolve discrepancies.Maintain daily productivity and quality standards.Specialty Knowledge & ComplianceWorking knowledge of CPT, ICD-10-CM, and HCPCS coding related to Urology, Radiation Oncology and Imaging services.Understanding of Medicare, Medicaid, and managed care billing requirements.Awareness of documentation and authorization requirements for specialty services.Adherence to SOPs, compliance guidelines, and payer regulations.Tools & SystemsUtilize billing systems, clearinghouses, and payer portals to submit and track claims.Reference internal tools and payer resources to support clean claim submission.Qualifications2+ years of medical billing experience preferred.Experience billing for Urology, Radiation Oncology and Imaging services strongly preferred.Knowledge of insurance reimbursement processes and payer rules.High school diploma or GED required; additional billing education preferred.Preferred Skills & CompetenciesStrong attention to detail and accuracy.Effective time management and organizational skills.Ability to work independently in a fast-paced environment.Strong written and verbal communication skills.