Medical Billing & Revenue Cycle Manager

Job Title: Medical Billing & Revenue Cycle Specialist
Location: Bethlehem, PA (On-site)
Job Type: Full-time

About Us:
We are a multi-specialty private practice and infusion center located in Bethlehem, PA. We are seeking a highly skilled Medical Billing & Revenue Cycle Specialist with strong experience in hematology/oncology billing, coding, and revenue cycle management.

Responsibilities and Duties:

• Process and coordinate all electronic charges for billing and claim submission.
• Follow up on delinquent insurance claims and resolve denials/appeals in a timely manner.
• Verify insurance eligibility and complete pre-authorizations.
• Ensure insurance companies and patients are billed correctly.
• Manage patient accounts, collections, and payment posting.
• Answer patient inquiries regarding billing and payments with professionalism.
• Maintain fee schedules, billing manuals, and ensure compliance with CMS and payer guidelines.
• Perform charge entry, payment posting, and account reconciliation.
• Track and manage reimbursement rates, working closely with insurance carriers.
• Conduct month-end audits on charges billed, unbilled procedures, and discrepancies.
• Update provider credentialing information and patient demographics.
• Experience with Medicaid, Medicare, managed care, and third-party billing.
• Work collaboratively with the clinical and administrative team to optimize revenue cycle processes.
• Other duties as assigned.

Requirements:

• Minimum 5 years of hematology/oncology billing experience (GI experience is a plus).
• Strong background in medical billing, insurance AR, and revenue cycle management.
• ICD-10, CPT/HCPCS coding, and HCFA 1500 expertise required.
• Experience with insurance verification, authorizations, claim submission, and patient advocacy programs.
• Knowledge of CMS billing guidelines and compliance regulations.
• Familiarity with OncoEMR (preferred).
• Proficiency in billing software, Microsoft Word/Excel, and payment processing systems.
• Excellent verbal/written communication and customer service skills.
• Ability to work independently and as part of a team.

Preferred Qualifications:

• Coding certification (CPC, CCS, or CCA) strongly preferred.
• Bachelor’s degree required; MBA preferred.
• Contract negotiation experience is a plus.

Benefits:

• 401(k)
• Health, Dental, Vision insurance
• Paid time off
• Life insurance

Schedule:

• Full-time
• Monday to Friday
• Day shift (8-hour shift)

Application Question(s):

• Do you have 5+ years of hematology/oncology billing experience?
• Do you have coding certification (CPC, CCS, or CCA)?

Experience:

• Medical Billing: 5 years (Required)
• Hematology/Oncology Billing: 5 years (Required)
• ICD-10 & CPT Coding: 3 years (Required)
• Revenue Cycle Management: 3 years (Preferred)

Work Location: In person – Bethlehem, PA

Job Type: Full-time

Pay: $35.00 - $36.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person