Insurance Specialist II

The US Oncology Network•Richardson, TX

2d•Onsite

About The Position

The US Oncology Network is looking for an Insurance Specialist to join their team at Texas Oncology. This full-time position will support the Medical Oncology Department at their 3001 E. George Bush Highway Suite 100 location in Richardson, Texas. The typical work week is Monday through Friday, 8:30a - 5:00p. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas. The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

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.
Minimum four (4) years combined medical billing and payment experience required
Demonstrate knowledge of medical coding, preferably oncology coding
Associates degree in Finance, Business or four years revenue cycle experience preferred
Minimum two (2) years insurance resolution experience resolving issues with patients and payers as well as four (4) years combined medical billing and payment experience required
Proficiency with computer systems and Microsoft Office (Word and Excel) required
Demonstrate knowledge of oncology medical coding
Demonstrate knowledge of state, federal, and third party claims processing required

Nice To Haves

Associates degree in Finance, Business or four years revenue cycle experience preferred

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.
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.