Insurance Follow-Up/Billing Specialist

OneOncology•Huntsville, AL

About The Position

The Insurance Follow-Up and Billing Specialist ensures that payment-related issues are handled efficiently and effectively. The role is based in the business office of a busy outpatient oncology/hematology clinic and does not involve direct patient contact. This is not a supervisory position.

Requirements

  • High school diploma or equivalent.
  • At least 3 years of collection experience in a medical practice or facility, with a proven track record in billing, reimbursement, and follow-up.
  • Comprehensive knowledge of insurance plans, member eligibility, and medical billing.
  • Strong background in Medicare and Medicaid claims processing and reimbursement.
  • Understanding of CPT, ICD-10, UB, HCFA, and 835 terminologies.
  • Thorough knowledge of patient billing, claims submission, and payer-specific requirements.
  • Knowledge of payers including Medicare, Medicaid, Blue Cross, and other commercial health insurance carriers.
  • Excellent interpersonal and customer service skills.
  • Detail-oriented.
  • Strong problem-solving and research skills.
  • Excellent math, verbal, and communication skills.
  • Proficient in various computer software.

Responsibilities

  • Post insurance payments and perform insurance follow-up.
  • Process billing office reports.
  • Work with payers to resolve issues and facilitate prompt payment of claims.
  • Resolve insurance processing errors and denials.
  • Identify and resolve outstanding issues preventing claim resolution.
  • Use multiple systems to submit and correct claims.
  • Perform other assigned duties.
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