Southwest Women's Oncology (SWWO) and Optimum Human/Optimum Infusion are seeking a Medical Billing Specialist to own the full billing cycle for a high-volume oncology and specialty practice in Albuquerque, New Mexico.
This role is responsible for ensuring clean claims, timely reimbursement, denial resolution, payer follow-up, patient account management, and compliance with billing regulations. The position plays a key role in supporting both the financial health of the practice and the patient experience.
The ideal candidate is detail-oriented, proactive, and committed to precision, accountability, and continuous improvement.
Required
- Minimum 3 years of experience in medical billing
- In-depth understanding of third-party insurance, government payers, and physician billing and 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 requirements
- Proficiency in medical billing software, credit card payment processing, and Microsoft Office Suite
- Professional, service-oriented communication skills for patient and payer interactions
Preferred
- Oncology or specialty practice billing experience
- Experience with patient advocacy programs and financial assistance workflows
- Familiarity with chemotherapy drug billing and specialty reimbursement processes
Benefits
- Competitive salary
- Health benefits
- 401(k)
- Paid time off
- Professional development and continuing education support
- Opportunity to grow within the Optimum Platform
Location
Albuquerque, New Mexico, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago