Accounts Receivable Specialist

Onco360•Louisville, KY

10d•Onsite

About The Position

The Accounts Receivable Specialist participates in daily operational functions related to managing and collecting company-wide accounts receivable. The role works with insurance companies, healthcare providers, and patients to help claims be processed and paid appropriately, including through redeterminations and appeals. It also monitors remittances, payments, denials, and aged accounts; supports accurate payment posting and timely follow-up; and responds to patient billing and accounts receivable inquiries. The position is based at Onco360’s corporate office in Louisville, Kentucky, with a stated schedule of 9:00 a.m. to 5:30 p.m. EST, Monday through Friday. Starting pay is $22 per hour, depending on experience.

Requirements

High school diploma or GED.
2–3 years of healthcare accounts receivable experience.
Knowledge of NDC medication billing, PBM and medical contracts, Medicare programs and coordination of benefits, and healthcare audit experience.
Deadline-oriented, with time-management and prioritization skills.
Ability to work independently.

Nice To Haves

Certified Pharmacy Technician, associate degree, or bachelor’s degree.
Pharmacy-specific receivables experience.
National or state pharmacy technician certification.

Responsibilities

Work with insurance companies, healthcare providers, and patients to get claims processed and paid appropriately, including redeterminations and appeals.
Interpret pharmacy and medical claims and remittance advices, including understanding HCPC, ICD-10, and medication NDC in relation to claim billing.
Work with electronic claim adjudication, including the NDPDP D.0 standard and rejections, and complete claim updates and corrections as needed.
Apply knowledge of Medicare and Medicaid pharmacy programs and reimbursement guidelines.
Monitor electronic remittances and manual payments and denials to ensure proper payment posting and accurate receivables.
Coordinate with the cash team to account for pending payment postings and resolve them in a timely manner.
Monitor the A/R Dashboard and system A/R Manager to identify aged accounts requiring follow-up and prioritize activities with staff.
Manage time effectively while monitoring and following up on assigned aged claims.
Serve as a resource for patients on billing and accounts receivable inquiries, including copay structure and accepting patient payments.
Perform other tasks as assigned by the Manager, Director, and/or executive leadership.
Maintain a positive, courteous, respectful, and helpful attitude toward patients, team members, payers, and management.
Work within specified deadlines and be open to overtime when necessary to meet department goals and objectives.
Conduct job responsibilities in accordance with the Company’s Code of Business Conduct and Ethics, policies and procedures, Corporate Compliance Agreement, applicable laws, and professional standards.
Demonstrate leadership and work constructively with and supervise others.