Insurance Specialist - Billing Follow-Up

The US Oncology Network•Vancouver, WA

1d•Onsite

About The Position

Compass Oncology is seeking an Insurance Specialist to join their team. Our team of Insurance Specialists work tirelessly to make sure insurance companies reimburse for stated coverage and patient’s out of pocket costs are as low as possible. A person who is comfortable on the phone, has experience and knowledge of insurance companies, EOBs, and medical terminology will find success in this role. Experience in AR and Insurance Follow Up is preferred. If you would like to be an advocate for patients, we want to hear from you! Employment Type: Full-Time, 40 Hours M-F Location: Central Business Office (Vancouver, Washington) Salary Range: $20.75- $32.84 per hour Final offer amounts are determined by a review of the candidate’s applicable experience and qualifications, as well as, internal employee equity considerations. JOB SCOPE: 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 (2) years of combined medical billing and payment experience required.
Demonstrated knowledge of state, federal, and third-party claims processing required.
Demonstrated knowledge of state & federal collections guidelines.

Nice To Haves

Experience in AR and Insurance Follow Up is preferred.
Comfortable on the phone
Experience and knowledge of insurance companies, EOBs, and medical terminology

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
Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations.
Answers patient payment, billing, and insurance questions and resolves complaints.
Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations
Answers patient payment, billing, and insurance questions and resolves complaints
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 HIPAA laws and guidelines with regard to patient records
Performs other duties as requested or assigned