Insurance Specialist/AR Follow Up (Remote/Nevada)

The US Oncology Network • Henderson, NV

14h • Remote

About The Position

Comprehensive Cancer Centers of Nevada (CCCN) is seeking a remote Insurance Specialist/AR Follow Up located in Southern Nevada (Las Vegas, Henderson, Boulder City, Pahrump). The Insurance Specialist/AR Follow up is responsible for payer and patient account balances being paid timely and remaining current. Under general supervision, is responsible for payer and patient account balances being paid timely and remaining current. Performs collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering routine and non-routine account inquiries. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology’s Shared Values.

Requirements

• High School diploma or equivalent required
• Minimum two (2) years combined medical billing and payment experience required.
• Demonstrate knowledge of state, federal, and third-party claims processing required.
• Demonstrate knowledge of state & federal collections guidelines.
• Must successfully complete required e-learning courses within 90 days of occupying position

Nice To Haves

• Uses Technical and Functional Experience
• Possesses up to date knowledge of the profession and industry.
• Accesses and uses resources when appropriate.
• Demonstrates Adaptability
• Handles day-to-day work challenges confidently.
• Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change.
• Shows resilience in the face of constraints, frustrations, or adversity.
• Demonstrates flexibility.
• Customer Service
• Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
• Uses Sound Judgment
• Makes timely, cost effective, and sound decisions.
• Makes decisions under conditions of uncertainty.
• Shows Work Commitment
• Sets high standards of performance.
• Pursues aggressive goals and works efficiently to achieve them.
• Commits to Quality.
• Emphasizes the need to deliver quality products and/or services.
• Defines standards for quality and evaluates products, processes, and services against those standards.
• Manages quality.
• Improves efficiencies.

Responsibilities

• Monitors delinquent accounts and performs collection duties.
• Reviews reports, researches and resolves issues.
• Reviews payment postings for accuracy and to ensure account balances are current.
• Works with co-workers to resolve insurance payment and billing errors.
• Monitors and updates delinquent accounts status
• Recommends accounts for collection or write-off.
• Answers patient payment, billing, and insurance questions and resolve complaints.
• Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations.
• May refer patients to Patient Benefits Representative to set up payment plans.
• Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations.
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regard to patient records.
• Performs other duties as requested or assigned

Benefits

• excellent benefits
• a team environment
• professional development
• the chance to be part of a nationwide network dedicated to fighting the war against cancer

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED