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Payment Specialist II

US Oncology Network-wide Career Opportunities
life insurance, 401(k)
United States, Illinois, Orland Park
Dec 20, 2025
Overview

Join Affiliated Oncologists as a Payment Specialist II!

We are pleased to announce the establishment of our new Central Billing Office (CBO), created to support the continued growth and operational needs of our multi-specialty oncology practice. This dedicated department will serve as a centralized resource for revenue cycle functions, with a focus on accuracy, consistency, and high-quality service for both patients and clinical teams.

As cancer care grows more complex, so does the financial journey that accompanies it. Our CBO is being built to meet that challenge with innovation and a commitment to operational excellence. We're assembling a team of driven, knowledgeable professionals who are ready to streamline processes, optimize reimbursement, and support our clinical teams for overall practice success.

As we launch the CBO, we are seeking skilled professionals who are motivated to help shape an efficient, collaborative, and high performing team. Those who join will play an essential role in creating workflows, strengthening operations, and supporting the long-term success of our oncology practice.

SCOPE:

Under general supervision, the Payment Specialist II is responsible for processing and posting incoming payments, reconciling receipts and adjusting patient accounts. Prepares money for deposit and audits accounts receivable reports to ensure accurate balance. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values.


Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Accurately post daily payments from patients, insurance carriers, and thirdparty payers to the appropriate accounts within the practice management system.
  • Reconcile daily cash receipts and deposit reports with bank statements or lockbox activity to ensure accuracy and completeness.
  • Investigate and resolve payment discrepancies, including overpayments, underpayments, and misapplied or incorrect transactions.
  • Process refunds and account adjustments in compliance with payer rules, internal policies, and validated patient requests.
  • Maintain detailed, accurate transaction records and ensure all documentation meets audit and compliance standards.
  • Communicate with insurance companies, clearinghouses, and other payers to clarify remittance information or obtain missing details required for accurate posting.
  • Collaborate with billing and collections teams to validate account balances, support claims resolution, and maintain clean and accurate A/R.
  • Research, identify, and resolve unapplied or unidentified payments in a timely manner.
  • Adhere to HIPAA regulations and strictly protect the confidentiality of patient health and financial information.
  • Navigate payer portals effectively to obtain EOB/ERA details, payment confirmations, and other postingcritical information.
  • Participate in monthend closing tasks and reporting activities related to payment posting and cash reconciliation.
  • Verify, record, and maintain all adjustment documentation in accordance with internal and regulatory requirements.
  • Any other billing/administrative duties assigned by billing manager

Qualifications

MINIMUM QUALIFICATIONS:

  • High school graduate or equivalent required.
  • Minimum two (2) years payment specialist or benefits representative experience strongly preferred.
  • Proficiency with computer systems and Microsoft Office (Word and Excel) required.
  • Experience with medical billing software AthenaIDX strongly preferred.
  • Experience in oncology preferred.

COMPETENCIES:

  • Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; accesses and uses resources when appropriate.
  • Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience in the face of constraints, frustrations, or adversity; demonstrates flexibility.
  • Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.
  • Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
  • Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.

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 will be offered 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.

HOURLY RANGE:

  • $22.00 - $32.00

BENEFITS OFFERED:

  • Medical
  • Healthcare Reimbursement Accounts (HRCA)
  • Health Savings Accounts (HAS)
  • Dental
  • Vision
  • Life Insurance
  • Short-Term Disability (STD)
  • Long-Term Disability (LTD)
  • Employee Assistance Program (EAP)
  • Commuter Benefits
  • 401(k)
  • Wellness Program

Applicants will be hired into the title appropriate to their credentials and years of experience.

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