Job Description

Job Location: 1650 Republic Pkwy Ste 130, Mesquite, TX 75150 - Mesquite, TX 75150Education
Level: High School
Travel Percentage: None
Job Shift: Day
Job 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 resolve denials and underpayments
- Submit corrected claims and appeals as necessary
- Communicate with payers regarding documentation requests
- Assist patients with account inquiries and payment arrangements
3. Operational Support (5%)
- Provide cross-coverage during staffing shortages
- Perform additional duties as assigned

Work Environment
Primarily sedentary position requiring extended computer use and telephone communication.

Qualifications

Qualifications
Education
High school diploma or equivalent required.
Experience
- Minimum 2+ years oncology insurance verification required
- Minimum 2+ years AR follow-up experience in specialty practice required
- Radiation oncology billing experience required
Knowledge, Skills, Abilities
- Strong knowledge of oncology authorizations and payer requirements
- Understanding of medical billing workflows and claim lifecycle
- Strong communication and analytical skills
- Ability to prioritize high-volume tasks