Role Description Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Research denied services and alternative resources to pay for treatment. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards. Responsibilities - Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. - Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. - Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs. - Updates coding/payer guidelines for clinical staff. - Tracks pathways and performs various other business office functions on an as needed basis. - Obtains insurance authorization and pre-certification specifically for chemotherapy services. - Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. - Research additional or alternative resources for non-covered chemotherapy services to prevent payment denials. - Provides a contact list for patient’s community resources including special programs, drugs and pharmaceutical supplies and financial resources. - Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization. - Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient’s records. - Other duties as requested or assigned. Qualifications - High school degree or equivalent. - Associates degree in Healthcare. - Minimum three (3) years medical insurance verification and authorization required. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range. Work Environment The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites. Benefits - M/D/V, Life Ins., 401(k), PTO, Paid Holidays Company Description The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

Role Description The role of the Revenue Cycle Specialist is a valued member of our Revenue Cycle team. As a Revenue Cycle Specialist, you will work remotely and be responsible for overseeing bill processes including: - Charge entry - Billing - Claims - Patient AR - Insurance AR You will also post payments, handle credit resolutions, along with other revenue cycle functions. Location: Proliance Edmonds Orthopedic Center Schedule: Monday - Friday, 8:00am - 5:00pm We are seeking a detail-oriented and motivated Revenue Cycle Specialist to join our Billing Office team. This role focuses primarily on managing patient statements, patient account follow-up, and resolving patient billing inquiries. The ideal candidate is organized, customer-service oriented, and experienced in healthcare billing processes. Qualifications - High School diploma or GED - Minimum 1-2 years medical billing experience - CPC or other equivalent certification - Orthopedic Coding Experience a plus - Experience with Nextgen and Amkai Billing Systems preferred Requirements - Verify information for claims is correct prior to billing - Review Surgical coding for accuracy prior to billing - Process all Primary, Secondary, and tertiary claims and address any edits or rejections - Post all patient payments - Post all Insurance and third-party payments - Credit Resolution for both Insurance and Self pay credits - Insurance AR - Patient AR - Process bad debt - Answer phones - Complete duties and assist others as directed - Must follow all policies as introduced during new teammate On-Boarding, updated real-time and outlined in Teammate Handbook Knowledge, Skills and Abilities - High level of independence, adaption, and accuracy - Ability to navigate online Payor portals and websites - Ability to effectively use Office equipment - Basic knowledge of Microsoft Office Word and Outlook - Superior customer service skills - Great interpersonal skills; demonstrating patience, composure, and cooperation; working well with all patients, physicians, and staff - Understanding of and adherence to all safety, risk management and precautionary procedures, including the consistent respect for confidentiality (HIPAA) - Using time efficiently, with meticulous attention to detail, accuracy, and completion - Ability to manage multiple factors for the best result - Resourcefulness in addressing first level problems and tenacity to see things through to solution - Ability to remove oneself personally from given situations, remaining objective - Able to adapt to change, delays or unexpected events while maintaining a positive mindset - Clear oral and written communication - Ability to provide feedback to improve performance - Self-motivated; able to work following specific guidelines and in accordance with detailed instructions; measure self against standard of excellence, overcome obstacles and challenges with little supervision Work Environment/Physical Demands The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

Role Description We are seeking a motivated Provider Education Specialist with expertise in Orthopedics & Surgical Specialties to join our Audit, Compliance & Education team. This job can be performed 100% remotely and out of state candidates will be considered. The Provider Education Specialist will provide formal and informal coding and regulatory education to all attending Physicians, Residents, Advanced Practice Providers, and learners involved with the billing for professional services. The education will include coding and documentation requirements as directed by Federal and State requirements as well as the AMA. The individual in this position will serve as a liaison between internal CU Medicine departments, CU School of Medicine (SOM) departments, and faculty. Responsibilities of the Provider Education Specialist include but are not limited to: - Under the direction of leadership design, create, revise and update education materials in Articulate, Panopto, Word and PowerPoint. - Develop content and education materials related to coding and documentation requirements as directed by Federal and State requirements as well as the AMA. - Provide educational sessions for Physicians, Residents, Advanced Practice Providers, and learners involved in professional services billing. - Sessions may be for new physicians or to present new information including yearly updates and changes in requirements as needed. - Conduct follow-up reviews after initial training, determine if additional education is necessary and provide any additional training once identified as a need. - Revise and update all education materials under the direction of the Education Manager which includes revisions of materials used by Audit, Compliance & Education staff. - Communicate and problem solve with Administrators, Physicians, and Managers, on specific documentation issues and/or training requests. - Collaborate with Education Manager, DFA’s and individual providers to manage new provider orientation process. - Maintain up-to-date knowledge of current changes and trends in the health care industry. - Perform other duties and assist with special projects as assigned. Qualifications - Requires a bachelor’s degree in healthcare administration (or related field) or equivalent/relevant work experience. - Minimum of 3+ years of education experience (provider or coder education, but provider is preferred). - CPC or CCS required. - CPMA certification a plus (must be obtained within 1 year of hire). - The ability to speak comfortably and effectively in front of large audiences is essential to success. - Strong written and verbal communication skills. Requirements - All applications MUST be submitted via our website. - In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. - You will not be penalized for redacting or removing this information. Benefits - CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation beyond the number on your paycheck. - Find information about our benefits here .

Description and Requirements The Team You Will Join Join the nation's largest non-medical carrier of group insurance, where your work will impact over 55,000 customers and cover more than 50 million employees and family members. As part of MetLife's Group Benefits team, you'll deliver innovative benefits solutions - life, disability, dental, vision, and voluntary benefits - tailored to today's employers and workforces. Collaborate with customers, brokers, and partners to expand our offerings and reimagine digital experiences. Join us and be part of an organization committed to supporting customers when they need us most. The Opportunity The Pet Group Billing Support plays a critical role in ensuring accurate policy billing, reconciliation, and issue resolution for group pet insurance customers. This role is responsible for conducting detailed policy audits, resolving billing discrepancies, supporting system corrections through partnership with IT and operations teams, and providing training and quality oversight for new and existing associates. The position also contributes to process improvements, reporting analysis, and special billing projects across the Pet Insurance billing support function. Key Responsibilities - Conduct routine policy audits for group customers to identify overpayments, underpayments, and data discrepancies; escalate items requiring additional review. - Process transactional requests (e.g., start/stop coverage), submit IT tickets as needed, and support corrections to policy setup. - Review policy details to validate refunds, prepare refund breakdowns, and coordinate with Accounting, Billing, and customer-facing teams on next steps and timing. - Manage weekly reporting (e.g., PET Compare), track issues through resolution, document actions taken, and partner with internal teams to ensure accurate policy administration. - Review daily operational reports to research policy information, identify issues, and determine appropriate follow-up actions in accordance with established guidelines. - Process routine policy transactions, including start/stop activity and monetary adjustments, and submit IT service tickets to support accurate policy administration. - Partner with Customer Experience, Billing Operations, and Billing Management teams to coordinate policyholder outreach, track issue resolution, and provide timely status updates. - Support departmental projects and initiatives by conducting policy reviews, assisting with billing reconciliation efforts, and completing administrative tasks such as group updates, cancellations, and data changes. - Maintain documentation, work instructions, time tracking, and audit logs while providing feedback and insights on assigned tasks to support process effectiveness and continuous improvement. - Support the daily intake and organization of operational files, assist with reviewing data for basic issues or discrepancies, and document findings following established procedures. - Help prepare summaries and share observations with the team to support issue resolution and ongoing process improvements. - Provide training, guidance, and mentorship to other team members. Required Qualifications - 2+ years of Experience with billing, transmission and payment processes within the Insurance industry. - Excellent attention to detail and documentation skills, including audit logs and work instructions. - Excellent organizational and time management skills. - Strong analytical skills with the ability to research, interpret, and resolve complex policy and billing issues - Possess a self-starter/ownership mindset. - Flexibility to move between competing priorities as needed/directed - Education: high school required Preferred Qualifications - Understanding of, Voluntary Benefits, Pet Insurance or group billing operations - Familiarity with reconciliation processes, refunds, and financial controls. - Ability to work autonomously; effectively handle multiple tasks and prioritize deadlines appropriately. - Self-motivated to learn more about MetLife business and proactive in personal development. - Associate's degree preferred At MetLife, we're leading the global transformation of an industry we've long defined. United in purpose, diverse in perspective, we're dedicated to make a difference in the lives of our customers. The expected salary range for this position is $41,600 - $72,300 . This role may also be eligible for annual short-term incentive compensation and stock-based long-term incentives. All incentives and benefits are subject to the applicable plan terms. Benefits We Offer Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, paid time off, paid holidays, volunteer time off, tuition assistance and much more! About MetLife Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces™, as well as the Fortune 100 Best Companies to Work For®, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us! MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics"). If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.