Qureos Mentor

OneOncology

OneOncology is a network of leading oncology practices dedicated to providing community-based cancer care. They focus on improving patient experiences by connecting oncologists with resources that enhance access, quality, and cost-effectiveness of treatment. The organization leverages advanced analytics and shared technology to support practices in delivering comprehensive cancer care, while maintaining the autonomy of practice leadership. OneOncology aims to transform the landscape of cancer treatment in the U.S. by fostering collaboration and innovation among its members.

<div>OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology&rsquo;s mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Job Description:
The Credentialing Specialist will report to OneOncology&rsquo;s Credentialing Manager. The credentialing specialist is responsible for all aspects of the privileging and credentialing process for physicians and allied health professionals. The Specialist will process applications, verify information, research application details, and assure processes are in accordance with medial staff procedures. The specialists will provide consistent, accurate, and timely credentialing support, enhancing the organizations ability to provide professional services. Work includes the accurate, timely and documented verification of the information provided by the application and maintenance of the highly confidential credentialing related files.
Responsibilities<ul><li>
Credentialing and re-credentialing of physicians and allied health professionals</li><li>
Completion, submission and tracking of credentialing applications with all managed care organizations and hospitals.
</li><li>Apply and validate hospital privileges</li><li>
Obtain malpractice insurance policy</li><li>
Notification to staff of completion of credentialing for scheduling and billing</li><li>
Maintain and update CAQH online credentialing application for all providers quarterly.
</li><li>Database management/provider files</li><li>
Maintain vital provider credentialing information via technology tool and hard copies of documents in provider files stored on OneOncology platform.
</li><li>Tracking and maintaining all clinical licenses for nursing, pharmacy, and lab personnel</li><li>
Provider continuing education</li><li>
Track continuing education credits for all providers</li><li>
Notify providers of any deficiencies</li><li>
Submit documentation if providers are audited</li><li>
Termination of physician and/or allied health professional</li><li>
Contact all MCO/hospitals/EMR to remove provider who has left practice, within 30 days of termination.
</li></ul>Key Competencies<ul><li>
Proficient with MS Office Suite (word, excel) and web-based applications</li><li>
Ability to maintain verbal and written communications in a confidential manner</li><li>
Detail oriented with strong organizational skills</li><li>
Excellent interpersonal skills &ndash; team player who can prioritize multiple responsibilities, manage a large workload within tight deadlines &ndash; works well under pressure and consistently meets deadlines, readily adapts to change, and excels in a productivity-based environment</li><li>
Excellent verbal and written communication skills</li><li>
Demonstrates research and problem-solving skills</li></ul>
Qualifications<ul><li>
High school diploma and 2+ years of related experience.
</li><li>Bachelor&rsquo;s degree preferred.
</li><li>Training experience preferred but not required</li><li>
Industry experience leading credentialing activities in large provider practice (or multiple practices) is required</li><li>
Certifications preferred but not required</li><li>
Working remote with Travel flexibility as needed.</li></ul><h3 class="jobSectionHeader">
#LI-REMOTE</h3></div>

Credentialing Specialist

<div><div><div><div><div><div><div><div>OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology&rsquo;s mission and vision.</div></div></div></div></div></div></div>
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.
Job Description:
The Billing and Insurance AR Specialist role reviews monthly accounts receivables, follow up for resolution, insurance contact and claim re-files when necessary. Responsible for all aspects of insurance management of assigned payers including follow-up, research, and problem resolutions. The individual will need to have expertise in medical billing and collections, as well as a strong understanding of insurance reimbursement processes. This position will also review billing edits and correct claims. The successful candidate will work closely with patients, physicians, and insurance companies to ensure that accurate and timely payments are received, and outstanding balances are collected.
Responsibilities:<ul><li>
Works and/or maintains every account in the assigned AR in the 45+ day categories. Reviews EOBs within a two-week turnaround.
</li><li>Documents accurate collection activity in the collection tracking notes.</li><li>
Evaluates status of accounts and prioritizes collection action (letters, phone calls, staff assistance).
</li><li>Calls on outstanding balances due from carriers in a timely manner.</li><li>
Telephone, interview, and counsel patients on outstanding self-pay balances.
</li><li>Responds to incoming telephone or mail inquiries in a prompt, timely manner.
</li><li>Completes write-off adjustment forms for accounts that need review.
</li><li>Review claim edit failures and correct billing for clean claim submissions.
</li><li>Advises Supervisor of any unusual collection accounts as they become delinquent or are in question.
</li><li>Prepares daily user reports for Supervisor review and filing along with appropriate notes/documentation.
</li><li>Work with other members of the RCM team to ensure clean claims and timely payment.</li><li>
Maintains a complete understanding of HCPCS/ICD/CPT oncology coding and specific carrier requirements/knowledge.</li><li>
Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.</li></ul>
Required Qualifications:<ul><li>
High school diploma or equivalent required</li><li>
Bachelor&rsquo;s degree preferred</li><li>
Minimum of 3 years of experience in medical collections required, preferably in an Oncology healthcare setting</li><li>
Radiation Oncology/Proton experience a plus</li><li>
Expertise in insurance policies and regulations related to medical billing, including Medicare and Medicaid</li></ul>
Essential Competencies:<ul><li>
Attendance is an essential job function.</li><li>
Detailed knowledge of billing, HCPCS, CPT and ICD codes
</li><li>Previous commercial collections experience preferred
</li><li>Ability to work effectively with all levels of management and other colleagues, demonstrating initiative, mature judgment and customer service orientation.
</li><li>Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations.</li><li>
Exceptional Multi-tasking, organizational skills and superb attention to detail.
</li><li>Strong analytical skills</li><li>
Skill in negotiating issues and resolving problems.
</li><li>Excellent customer service skills.</li><li>
Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), database and patient billing and other medical information systems.</li><li>
Ability to operate various types of office equipment.</li><li>
Must possess high degree of professionalism and adaptability.</li></ul></div>

Billing and Insurance AR Specialist

<div><h1 class="jobSectionHeader">Advanced Practice Provider Opportunity</h1>
<h3 class="jobSectionHeader">Tennessee Oncology</h3>
<h5 class="jobSectionHeader">Chattanooga, TN</h5> 


Job Summary

Occupation: Nurse Practitioner or Physician Assistant

Specialty: Hematology/Oncology

Clinic Location: Tennessee Oncology

Employment: Full-Time | Mon-Fri | Hospitalist

Setting: Private Practice, Inpatient

Board Certifications: NP-C/PA-C

Ideal Candidate:
<ul>
<li>Minimum of 1-2 years of APP experience required
</li>
<li>Hematology/Oncology experience as RN or APP required
</li>
<li>Hospitalist experience as RN or APP required
</li>
</ul>Job Details:
<ul>
<li>APP to support with inpatient rounding</li></ul> 

About the Role

Tennessee Oncology is seeking an Advanced Practice Provider to support its inpatient hematology and oncology services within a private practice hospital setting. In this role, you will provide inpatient rounding care, working primarily with hospitalized hematology patients while collaborating closely with physicians and the care team. The position offers significant clinical responsibility; APPs must be comfortable working autonomously in a hospital-based environment. This opportunity is well suited for an experienced APP with direct hospitalist and hematology/oncology experience who values independent practice, clinical depth, and patient-centered care. 


About Chattanooga, TN

Chattanooga, Tennessee, offers an exceptional quality of life in a city celebrated for its natural beauty and vibrant community. Known as the &quot;Scenic City,&quot; Chattanooga is nestled along the Tennessee River and surrounded by the Appalachian Mountains, providing endless opportunities for outdoor recreation including hiking, cycling, and kayaking. The city boasts a revitalized downtown, thriving arts and culinary scenes, and nationally recognized attractions such as the Tennessee Aquarium and Lookout Mountain. With a growing economy, affordable cost of living, and ultra-fast municipal broadband, Chattanooga combines small-city charm with modern innovation, making it an ideal place to live and work. 


Recruitment Package

Top-Tier Compensation &ndash; Highly competitive compensation structures

Comprehensive Benefits &ndash; Medical, Dental, Vision, Disability, Life

Retirement Plan &ndash; Secure your future, 401k match

Work-Life Balance &ndash; Paid time off

Professional Growth &ndash; CME days and reimbursement

Community Care &ndash; Make a real difference by caring for patients in their local communities 


About the Practice

Tennessee Oncology is a leader in cancer care, built on a foundation of clinical excellence, compassionate care, and unwavering support for patients during some of the most challenging times in their lives. Our team of highly trained physicians and dedicated healthcare professionals is committed to delivering high-quality, evidence-based cancer care close to home. We proudly offer a comprehensive range of specialties, including Hematology/Medical Oncology, Radiation Oncology, Gynecologic Oncology, Breast Surgery, Palliative Care, and a robust Clinical Trials &amp; Research Program. At its heart, our mission is deeply committed to improving outcomes, advancing innovation, and supporting each patient with dignity and personalized care.

Tennessee Oncology is proud to partner with OneOncology, a nationwide platform uniting premier independent specialty practices, including United Urology Group and SunState Medical Specialties. Together, we are advancing an integrated ecosystem of Medical Oncology, Urology, and Radiation Oncology, ensuring patients receive seamless, high-quality care across all aspects of their treatment journey. OneOncology's physician-led, data-driven, and technology-enabled model fosters collaboration, clinical excellence, and innovation across our network. Through shared platforms and programs like OneR, our non-exclusive clinical trial site management subsidiary, partner practices gain access to cutting-edge research and multi-center trials, allowing patients to benefit from the latest therapies and coordinated care, all within a single, patient-focused organization. 


If you would like to apply or learn more about this opportunity, please email your CV to shanna.carpien@oneoncology.com

I look forward to speaking with you!</div>

Advanced Practice Provider - Tennessee Oncology

Join OneOncology and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

OneOncology

About Company

Credentialing Specialist

Billing and Insurance AR Specialist

Advanced Practice Provider - Tennessee Oncology