Overview
Comprehensive Cancer Centers of Nevada (CCCN) is a multidisciplinary oncology group serving patients throughout Southern Nevada. The organization provides medical oncology, hematology, radiation oncology, breast surgery, and pulmonary medicine services across 12 treatment centers and offices.
Position Summary
This role is a remote Billing Specialist position for candidates located in Southern Nevada. The specialist prepares and submits patient claims to third-party payers, reviews claims for payer-specific billing requirements, resolves patient billing inquiries, and supports compliance with organizational policies and procedures.
Key Responsibilities
- Collect patient documentation and charts for claim submission
- Ensure claim forms are complete and accurate
- Review patient charts for completeness and coordinate with clinical staff for missing information or clarification
- Enter charges and submit insurance claims to third-party payers
- Review interface transactions and resolve TES edits
- Verify initial claim acceptance and review denial reports
- Identify payer trends, denial patterns, and delays and report them to management
- Maintain billing, coding, and SOP reference files
- Perform payment responsibilities as assigned
- Adhere to confidentiality, state, federal, and HIPAA requirements
Requirements & Qualifications
Qualifications
- High school diploma or equivalent required
- Minimum of 2 years of medical billing and payment specialist experience, or equivalent experience
- Medical coding experience preferred
- Proficiency with computer systems and Microsoft Office, including Word and Excel
- Working knowledge of state, federal, and third-party claims processing
- Ability to complete required e-learning courses within 90 days of hire
Location
Henderson, Nevada, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago