AR Medical Insurance Specialist - Remote

The US Oncology Network•Norfolk, NY

14d•Remote

About The Position

With minimal supervision, the AR Medical Insurance Specialist is responsible for ensuring payer and patient account balances are paid timely and remain current. The role performs collection activities, including monitoring delinquent accounts, contacting patients about payment, resolving billing problems, and answering routine to complex account inquiries. Work is completed within standard procedures and pre-established guidelines. The specialist supports and adheres to The US Oncology’s Compliance Program, including its Code of Ethics, Business Standards, and Shared Values. The position is remote and is performed in a home office environment, with frequent interaction with employees, payers, and Practice staff. The role requires a high school diploma or equivalent and at least two years of combined medical billing and payment experience. Knowledge of state, federal, and third-party claims processing, as well as state and federal collections guidelines, is required. Required e-learning courses must be completed within 90 days of occupying the position.

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, current knowledge of the profession and industry, and the ability to access and use resources appropriately.
Adapt to changing demands, shifting priorities, ambiguity, and rapid change; handle day-to-day work challenges confidently; and demonstrate resilience and flexibility.
Demonstrate positive interpersonal relations 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 work and quality.
Define and evaluate quality standards, manage quality, and improve efficiencies.

Responsibilities

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