Oncology Revenue Cycle Specialist II (42857)

Job description

Job DetailsJob Location: 1650 Republic Pkwy Ste 130, Mesquite, TX 75150 - Mesquite, TX 75150Education Level: High SchoolTravel Percentage: NoneJob Shift: DayJob Category: InsuranceOncology Revenue Cycle Specialist Department: Central Business Office (CBO): Location: Mesquite FLSA Status: Non-Exempt Supervisory Responsibility: None Position Summary: The Oncology Revenue Cycle Specialist II is responsible for insurance verification, benefit analysis, prior authorization procurement, and accounts receivable follow-up for radiation and medical oncology services. This position ensures timely reimbursement, reduces claim denials, and supports patient financial transparency. Essential Functions: 1. Insurance Verification & Authorization (30–35%) Verify insurance eligibility and oncology-specific benefits Obtain and track prior authorizations and referrals Coordinate with clinical staff for documentation Accurately document benefit information in billing system Communicate patient financial responsibility prior to service Maintain 10-day pre-service verification standard: 2. Accounts Receivable & Claims Resolution (60–65%) Monitor AR aging and follow up on unpaid claims Research and resolv...