Insurance Specialist II - Credit Balance Team

The US Oncology Network•Richardson, TX

12d•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 Revenue Cycle Department at their Richardson, Texas location. Texas Oncology is the largest community oncology provider in the country, delivering high-quality, evidence-based care to patients close to home. The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America, supported by McKesson Corporation.

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

Responsibilities

Maintains Federal and Commercial credits under 60 days, following Federal guidelines as well as TXO policy and procedure.
Reviews reports, identifies overpayments, researches and resolves issues, may perform a detailed reconciliation of batches, and resubmits refunds.
Reviews payment postings for accuracy and to ensure account balances are current.
Works with co-workers to resolve payment and billing errors.
Applies patient money towards account write offs or balances with patient responsibilities.
Contacts and follows up with Insurance companies for COB details, recoup information or update of addresses.
Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations.
Contacts patients to explain why a refund has been issued on our behalf, as well as possible address updates.
Answers patient payment, billing, and insurance questions and resolves complaints.
Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regard to patient records.
Performs other duties as requested or assigned.