Radiation Oncology Collections and Billing

Remote- California based career

Make a meaningful difference behind every claim. As a Medical Billing and Collections teammate with Starling Oncology, you will help ensure patients receive the care they need by supporting accurate billing, timely reimbursement, and compassionate financial communication. Your work connects clinical excellence with a smoother experience for patients, families, and care teams.

JOB PURPOSE AND SUMMARY: 

Ensures radiation oncology services are billed accurately, compliantly, and timely and that outstanding accounts are actively worked through final resolution. The clinic team enters the diagnosis and procedure codes; this role validates those codes against clinical documentation, treatment records, authorizations, payer requirements, and billing rules before claim submission. The position manages claim edits, rejections, denials, follow-up, appeals, payment variances, and collection activity to reduce avoidable revenue leakage and support timely reimbursement. 

ESSENTIAL DUTIES AND RESPONSBILITIES: 

• Review and validate radiation oncology charges, documentation, and ICD-10, CPT, and HCPCS coding to ensure compliance, accuracy, medical necessity, and alignment with payer requirements. 
• Submit clean claims and resolve billing edits, rejections, denials, underpayments, and reimbursement discrepancies through timely follow-up, appeals, and corrective action. 
• Monitor accounts receivable, aging, filing deadlines, and work queues to maximize collections and prevent revenue loss. 
• Collaborate with clinical, coding, authorization, and revenue cycle teams to ensure services are properly documented, authorized, billed, and reimbursed. 
• Research payer policies, Medicare guidelines, and regulatory updates to support compliant billing and reimbursement practices. 
• Analyze billing and denial trends, provide education and recommendations, and support process improvements to enhance claim accuracy and revenue performance. 
• Maintain accurate account documentation and comply with HIPAA, billing regulations, and organizational standards. 
• Meet established productivity, quality, denial management, and collection performance goals
• Complies with company policies and additional duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES: 

• Strong understanding of radiation oncology billing, documentation, charge capture, modifiers, medical necessity requirements, and payer rules. 
• Ability to review and interpret EOBs, remittance advice, claim status updates, and payer policies. 
• Proficiency with EHRs, practice management and billing software, clearinghouse and payer portals, coding tools, and Microsoft Office applications.

REQUIRED EXPERIENCE, EDUCATION AND/OR TRAINING: 

• 3-5 years of recent experience in radiation oncology billing and collections. 
• Active ROCC (Radiation Oncology Certified Coder) certification.  
• Additional billing or coding credential such as CPC, CPB, CCS, CCS-P, or RHIT/RHIA.
• Experience billing and collecting in a multi-state, multi-site oncology organization.
• Experience managing radiation oncology claims, reimbursement, and accounts receivable, including claim submission, audit review, denial prevention and resolution, payer escalations, appeals, underpayment analysis, and outstanding account cleanup.
• Experience developing billing system edits, standardized workflows, payer-specific billing guidance, or clinic education.
• Experience reviewing and validating ICD-10, CPT, and HCPCS codes before claims are submitted. 

PHYSICAL WORKING REQUIREMENTS: 

This position routinely uses a computer and requires sustained attention to detailed clinical and billing information. Reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the role.