A/R Patient Analyst

OneOncology•Costa Mesa, CA

1d•Onsite

About The Position

Carolina Oncology Specialists has been providing compassionate, patient-centered care since 1983, delivering high-quality oncology and hematology services tailored to each individual's needs. Patients benefit from the convenience of receiving chemotherapy treatments in our clinics, along with expert diagnosis, treatment, and management of a wide range of blood disorders. Why Join Us? We are seeking talented, compassionate, and highly motivated individuals who are passionate about making a difference. At Carolina Oncology Specialists, you'll have the opportunity to support the meaningful work of community oncology while helping provide exceptional care and hope to the patients and families we serve. Join a team dedicated to clinical excellence, collaboration, and improving lives every day.

Requirements

High school diploma or equivalent
Minimum of 2–3 years of experience in accounts receivable, medical billing, or revenue cycle operations
Knowledge of EOBs, patient billing, and insurance payment processes
Experience with EHR and practice management systems
Strong analytical and problem-solving skills
Excellent communication and customer service skills

Nice To Haves

Experience in oncology or specialty healthcare setting
Knowledge of payer guidelines including Medicare, Medicaid, and commercial insurance
Familiarity with denial management and collections processes

Responsibilities

Review and manage patient accounts with outstanding balances in accounts receivable
Investigate and resolve patient billing discrepancies, including payments, adjustments, and insurance processing issues
Follow up with patients regarding balances, payment arrangements, and account resolution
Work denied or underpaid claims to ensure accurate reimbursement and proper account resolution
Collaborate with billing, coding, and patient access teams to resolve account issues
Analyze aging reports and prioritize accounts for follow-up and resolution
Process adjustments, refunds, and transfers in accordance with policies and procedures
Communicate with insurance payers to resolve claims-related patient balance issues
Document all account activity accurately in the practice management system
Educate patients on account balances, insurance coverage, and financial responsibility
Identify trends in denials, underpayments, or patient balance issues and escalate to leadership
Ensure compliance with federal, state, and organizational billing regulations