Remote opportunity at
MedHQ - formerly Trajectory Revenue Cycle ServicesAccounts Receivable Representative, Oncology/Medical Oncology
MedHQ, formerly known as Trajectory Revenue Cycle Services, is hiring a full-time Accounts Receivable Representative focusing on oncology and medical oncology. This remote position involves managing…
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About This Role
MedHQ, formerly known as Trajectory Revenue Cycle Services, is hiring a full-time Accounts Receivable Representative focusing on oncology and medical oncology. This remote position involves managing accounts receivable work queues, addressing aged balances, and handling insurance follow-ups for medical oncology, infusion, and related clinical services. The professional in this role will independently prioritize accounts based on denial risks and timely filing deadlines. This opportunity is well-suited for revenue cycle specialists…
Job Description
MedHQ, formerly known as Trajectory Revenue Cycle Services, is hiring a full-time Accounts Receivable Representative focusing on oncology and medical oncology. This remote position involves managing accounts receivable work queues, addressing aged balances, and handling insurance follow-ups for medical oncology, infusion, and related clinical services. The professional in this role will independently prioritize accounts based on denial risks and timely filing deadlines.
This opportunity is well-suited for revenue cycle specialists who have specific oncology billing background and understand the financial implications of high-dollar chemotherapy and biologic accounts. Daily duties center on resolving complex payer denials, examining claims for correct coding and drug waste modifiers, appealing underpayments, and posting detailed account notes. The setting is metric-driven and fast-paced, requiring extended periods of sitting, computer use, and frequent phone communication with commercial, Medicare, Medicare Advantage, and Medicaid payers.
Responsibilities
- Work assigned accounts receivable queues and aged balances for medical oncology, infusion, and radiation oncology, prioritizing by aging and denial risk
- Contact commercial, Medicare, Medicare Advantage, and Medicaid payers through phone calls, portals, and clearinghouses to verify claim statuses and secure payments
- Investigate and resolve oncology denials related to medical necessity, authorizations, referrals, bundling, and coding discrepancies
- Review claims for appropriate HCPCS and J-codes, National Drug Codes, units of service, and JW or JZ modifier rules for drug waste
- Confirm that billed chemotherapy and infusion administration codes are supported and correctly sequenced
- Compare remittances to fee schedules and contract terms to identify and appeal underpayments
- Prepare appeal submissions containing medical records, letters of medical necessity, and peer-to-peer requests
- Collaborate with prior authorization, coding, charge entry, and clinical personnel to resolve root causes and prevent repeated denials
- Handle research and clinical trial billing inquiries alongside designated compliance contacts
- Document interactions thoroughly with payer reference names, contact details, and next action dates
- Execute refunds, adjustments, and write-offs in alignment with company thresholds
- Escalate workflow issues, system obstacles, and payer trends to the accounts receivable manager
- Meet performance metrics covering productivity, quality, and cash collections
Requirements
- At least two years of healthcare accounts receivable follow-up or denial management experience
- Direct background in medical oncology billing, insurance follow-up, and denial resolution
- Working familiarity with CPT, HCPCS, ICD-10, revenue codes, modifiers, and CMS-1500 or UB-04 claim forms
- Knowledge of remittance interpretation using EOB, ERA, and 835 formats alongside CARC and RARC codes
- Understanding of payer authorization, medical necessity, and appeal workflows
- Experience utilizing the Medisoft electronic health record billing system and payer portals
- Proficiency in Microsoft Office applications and Excel
- High school diploma or equivalent
Qualifications
- Experience with buy-and-bill drug administration, biosimilars, and oral oncolytic medications
- Familiarity with 340B program billing rules
- Experience reviewing local and national coverage determinations for oncology treatments
- Background in clinical trial billing or Medicare Secondary Payer issues
- Experience handling large, high-dollar accounts
Core Skills
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
What is the location and work environment for this role?
This is a fully remote position involving computer-based tasks, sitting for extended periods, and frequent phone communication with insurance payers in a fast-paced environment.
What employment type is this position?
This is a full-time position.
What specific experience is mandatory for applicants?
Candidates must have at least two years of healthcare accounts receivable follow-up or denial management experience, with direct medical oncology billing experience required.
What salary is offered for this role?
The salary is not specified in the job posting.
Sample Interview Questions
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