CPP Medical Specialties is seeking a full-time Medical Billing Specialist - CPG Medical Oncology in Johnstown, PA. The Medical Billing Specialist II is responsible for accurate billing as well as payments to ensure all services generated are captured and billed in accordance with the respective payer requirements. Able to communicate well with patients of all ages.* * *Who We Are:* People are our passion and purpose. Conemaugh Health System, of Duke LifePoint Healthcare, is the largest healthcare provider in west central Pennsylvania, serving over a half-million patients each year through the Conemaugh Physician Group and Medical Staff, a network of hospitals, specialty clinics and patient focused programs. Conemaugh Health System employs over 5,000 clinical and non-clinical staff, and over 450 physicians committed to providing the ideal patient experience. *Where We Are:* The city of Johnstown is home to high-performing schools and safe, affordable neighborhoods that make working, living, and raising a family special. There are many opportunities for educational advancement including the University of Pittsburgh at Johnstown, Saint Francis University, and Mount Aloysius College. *Why Choose Us:* * Health (Medical, Dental, Vision) and 401K Benefits for full-time employees * Competitive Paid Time Off / Extended Illness Bank package for full-time employees * Employee Assistance Program – mental, physical, and financial wellness assistance * Tuition Reimbursement/Assistance for qualified applicants * Professional Development and Growth Opportunities * And much more… *Essential Responsibilities:* Act as liaison with private insurance companies and patients. Handle phone calls and inquiries on patient accounts. Be available to take on any other duties as assigned by Billing Coordinator. Maintain appropriate controls and support data filing systems. Follow office policy and procedures. Scans deposit slips, balance sheet, OTC report, checks and credit card slips to CPG Finance. Make bank deposit. E-mail CHI Finance with daily deposit amount. Verifies eligibility and benefits for chemo treatments (IV & Orals) by contacting insurance carriers, medical insurance carriers (obtains script from prescribers if needed). Obtains authorizations for treatment if needed and adds to follow up calendar for renewals. Enrolls patients in Financial Assistance Foundations if needed for our out-of-pocket expenses. Follow up timely to ensure enrollment prior to treatment. Enrolls patients for free products if needed. Interacts with Nursing staff, Pharmacists, patients and Providers, etc. to coordinate treatment. Reviews office schedule to confirm treatment approvals and authorizations. Documents in billing system approval of treatment approvals and authorizations. Confirms with outside pharmacy that initial drug shipment is sent. Coordinates trying to obtain approvals for off label treatment-submits letter of medical necessity, supporting documentation, etc. to insurance carriers. Enrolls patient with drug companies' program if needed. *Job Qualifications: * *Education:* *Required: *High School Diploma or Equivalent. *Preferred:*Some financial/accounting background. *Experience:* *Required: *Two years’ experience in medical billing. *Preferred: *Experience in Medical Oncology billing, IDX experience. *Certification/Licensure/Registration:* *Required:*N/A. *EEOC Statement:* /Conemaugh Health System is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law./ **Job:** **Billing/Collections* **Organization:** ** **Title:** *Medical Billing Specialist II - CPG Medical Oncology* **Location:** *Pennsylvania-Johnstown* **Requisition ID:** *7479-9051*