Patient Assistance Support Insurance Specialist

The US Oncology Network•Richardson, TX

6d•Remote

About The Position

The US Oncology Network is seeking an Insurance Specialist to join Texas Oncology. This full-time remote position supports the Richardson, Texas location. The typical work week is Monday through Friday, 8:30 a.m. to 5:00 p.m. The Insurance Specialist monitors delinquent accounts, performs collection duties, reviews and researches account issues, and helps ensure payment postings and account balances are accurate and current. The role works with coworkers to resolve insurance payment and billing errors, contacts patients regarding past-due balances, verifies and updates patient and insurance information, and documents conversations. It also answers patient questions and resolves complaints involving payments, billing, and insurance; may refer patients to a Patient Benefits Representative for payment plans; and maintains patient and payor credit balances to ensure timely refunds in accordance with applicable government guidelines and regulations. The position requires adherence to confidentiality requirements and applicable state and federal laws and guidelines regarding patient records.

Requirements

High school diploma or equivalent required for Level 1.
At least two years of combined medical billing and payment experience required for Level 1.
Knowledge of state, federal, and third-party claims processing required.
Knowledge of state and federal collections guidelines required.
Successfully complete required e-learning courses within 90 days of occupying the position.
At least four years of combined medical billing and payment experience required for Level 2.
At least two years of insurance resolution experience resolving issues with patients and payers, as well as four years of combined medical billing and payment experience, required for Senior level.
Proficiency with computer systems and Microsoft Office, including Word and Excel, required for Senior level.
Knowledge of medical coding, preferably oncology coding, required for Level 2.
Knowledge of oncology medical coding required for Senior level.
Demonstrate technical and functional experience, adaptability, customer service, sound judgment, work commitment, and commitment to quality.

Nice To Haves

An associate degree in Finance or Business, or four years of revenue cycle experience, preferred for Senior level.

Responsibilities

Monitor delinquent accounts and perform collection duties.
Review reports, research issues, and resolve them.
Review payment postings for accuracy and ensure account balances are current.
Work with coworkers to resolve insurance payment and billing errors.
Monitor and update the status of delinquent accounts.
Recommend accounts for collection or write-off.
Contact patients to secure past-due balances; verify patient demographics and insurance providers; update system information; and document conversations.
Answer patient payment, billing, and insurance questions and resolve complaints.
Refer patients to a Patient Benefits Representative to set up payment plans when appropriate.
Maintain patient and payor credit balances and ensure timely refunds within government guidelines and regulations.
Adhere to confidentiality requirements and state and federal laws and guidelines concerning patient records.
Perform other duties as requested or assigned.