Insurance Specialist II

The US Oncology Network•Richardson, TX

6d•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 Surgery Department at their 3001 E. President George Bush Highway Suite 100 location in Richardson, Texas. The typical work week is Monday through Friday, 8:30a - 5:00p. Texas Oncology is the largest community oncology provider in the country and is part of The US Oncology Network, dedicated to advancing cancer care in America. They focus on delivering high-quality, evidence-based care using leading-edge technology and research.

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.