Proton Billing Specialist – United States

This is a specialized billing role for someone who knows medical billing and coding and can keep claims clean in a high-stakes oncology environment. You’ll manage billing for proton therapy, radiation therapy, and radiology, track claims end to end, and resolve denials and payer roadblocks to keep reimbursement moving.

About OneOncology
OneOncology supports independent community oncology practices with a patient-centric, physician-driven, technology-powered model. They provide practices with expertise, technology, and operational support to strengthen care delivery and help teams scale. The culture emphasizes process improvement and mission-driven work that supports patients living with cancer.

Schedule

  • Full-time
  • Remote (United States)

What You’ll Do

  • Verify insurance eligibility and benefits for proton therapy treatments
  • Ensure charges for proton therapy, radiation therapy, and radiology are entered accurately and on time for clean claim submission
  • Audit charges and partner with clinical and RCM teams to resolve missing or pending charges
  • Generate and submit timely, accurate claims to insurance payers
  • Track claims daily through the full billing cycle to support timely payment and identify payer roadblocks
  • Investigate and resolve claim rejections, denials, and appeals tied to proton therapy treatments
  • Interpret payer guidelines and regulations for proton therapy to ensure billing compliance
  • Coordinate with medical and pre-authorization teams to ensure complete, accurate billing
  • Maintain accurate billing records in patient files and systems and follow standard processes
  • Review radiation oncology medical records for coding and billing accuracy
  • Educate clinical teams on documentation requirements
  • Respond to patient and payer billing inquiries promptly and professionally
  • Stay current on insurance guideline changes and industry trends affecting radiation and proton billing
  • Flag trends, recommend solutions, and support additional responsibilities as assigned

What You Need

  • High school diploma or equivalent (required)
  • Bachelor’s degree (preferred)
  • 3+ years of medical billing and coding experience (required), preferably in an oncology setting
  • Coding certification (required) such as CPC, CMC, ROCC, or similar
  • Strong knowledge of medical terminology and procedures related to proton therapy and/or radiation oncology
  • Strong understanding of Medicare/Medicaid and insurance reimbursement rules
  • Strong communication skills and ability to collaborate across patients, providers, payers, and internal teams
  • Strong organization, time management, and ability to manage multiple priorities independently
  • Proficiency with medical billing software and Windows-based tools (Word, Excel, Outlook)

Benefits

  • Full-time remote role supporting oncology revenue cycle operations
  • Specialized scope across proton therapy, radiation therapy, and radiology billing
  • Opportunity to drive cleaner claims, reduce denials, and improve billing processes

This one is niche. If someone doesn’t already have coding certs and solid billing experience, they won’t make it past screening. If they do, this is a strong specialist lane.

Happy Hunting,
~Two Chicks…

APPLY HERE