AR Medical Insurance Specialist - Remote

The US Oncology Network•Norfolk, NY

3d•Remote

About The Position

With minimal supervision, the AR Medical Insurance Specialist is responsible for ensuring payer and patient account balances are paid on time and remain current. The role performs collection activities, monitors delinquent accounts, resolves billing problems, and responds to routine and complex account inquiries. Work is performed within standard procedures and pre-established guidelines. The employee supports and adheres to The US Oncology’s Compliance Program, Code of Ethics and Business Standards, and Shared Values. The US Oncology Network is a community-based oncology physician network supported by McKesson Corporation. The role is performed in a remote home office environment and involves frequent interaction with employees, payers, and practice staff.

Requirements

High school diploma or equivalent.
At least two years of combined medical billing and payment experience.
Knowledge of state, federal, and third-party claims processing.
Knowledge of state and federal collections guidelines.
Successfully complete required e-learning courses within 90 days of occupying the position.
Demonstrate technical and functional experience and current knowledge of the profession and industry.
Adapt to changing demands, shifting priorities, ambiguity, and rapid change; handle day-to-day challenges confidently and show resilience and flexibility.
Demonstrate positive interpersonal relations and customer service with employees, supervisors, physicians, patients, and outside contacts.
Use sound judgment and make timely, cost-effective decisions, including under conditions of uncertainty.
Set high performance standards, pursue goals efficiently, and demonstrate commitment to quality and process improvement.
Regularly sit and use hands to operate a computer keyboard and mouse; occasionally stand, walk, reach, and lift or move up to 30 pounds. Vision and hearing must be corrected to normal ranges.

Responsibilities

Monitor delinquent accounts and perform collection duties.
Review reports, research issues, and resolve them.
Review payment postings for accuracy and ensure account balances are current.
Work with co-workers to resolve insurance payment and billing errors.
Monitor and update the status of delinquent accounts.
Recommend accounts for collection or write-off.
Answer patient questions about payments, billing, and insurance, and resolve complaints.
Contact patients to secure past-due balances; verify patient demographics and insurance providers; update system information; and document conversations.
Refer patients to a Patient Benefits Representative to establish payment plans when appropriate.
Maintain patient and payor credit balances and ensure timely refunds within government guidelines and regulations.
Follow confidentiality requirements and state, federal, and HIPAA laws and guidelines concerning patient records.
Perform other duties as requested or assigned.