Insurance Specialist - Refund Coordinator

The US Oncology Network•Vancouver, WA

12h•$21 - $33•Onsite

About The Position

It may sound cliché, but it is true. A career taking care of cancer patients is a calling for most all of us. It’s much more than a job. Each of us has a unique story that brought us to Compass Oncology, but those stories usually share common themes of care, compassion, and commitment. No matter the role each Compass team member serves in, the goal is the same: to provide the best care possible for each and every one of our patients. If this sounds like you, please reach out to us. We can’t wait to hear your story. Medical insurance billing is often complex and complicated, made even more difficult with more complex and complicated diagnoses. Sometime lines of communication get crossed or information is missing from claims, and refunds are requested. Compass Oncology is looking for a new Insurance Specialist – Refund Coordinator to help manage these requests. Using their knowledge of medical billing and coding, this individual will research the accuracy and validity of these request; correcting mistakes that led to the request or processing the refund when applicable. This individual needs to be a strong self-starter that incredibly inquisitive and a positive problem solver. SCOPE: Under general supervision, this role is responsible for ensuring payer credit balances are refunded in a timely manner and in compliance with overpayment timeframe requirements. The position performs refund-related activities, including monitoring delinquent accounts and resolving billing issues, while following standard procedures and pre-established guidelines to complete assigned tasks. The role also supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards, as well as US Oncology’s Shared Values.

Requirements

Education: High School diploma or equivalent required
Experience/Training:
Minimum (2) years of combined medical billing and payment experience required.
Familiarity with spreadsheet applications.
Excellent communication skills including verbal, phone, and written correspondence.
Strong problem solving and research skills.
Ability to work in a team environment.
Demonstrate knowledge of state, federal, and third party claims processing required.
Demonstrate knowledge of state & federal collections guidelines.

Nice To Haves

Knowledge of accounting policies, practice and systems preferred, but not required.

Responsibilities

Responsible for resolution of credit balances, analyzing and researching all accounts appearing on the Credit Balance Report for a possible refund.
Reviews reports, researches and resolves issues pertaining to insurance denial
Research all refund requests from various insurance companies
Accurately analyze EOBs to determine how payment responsibility is shared between patient and insurance company
Use knowledge of ICD10/CPT coding to verify insurance information
Up to date knowledge of Coordination of Benefits
Capable of meeting 60-day compliance guideline to resolve credit balances.
Capable of meeting daily deadlines with little supervision
Works with co-workers to resolve insurance payment and billing errors
Reviews payment postings for accuracy and to ensure refund balances are current
Research, gather, and submit electronically all information needed to process refunds
Assists in research in order to accurately report refunds
Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records