Insurance Specialist

The US Oncology Network•Evansville, IN

1d•Remote

About The Position

With minimal supervision, is responsible for payer and patient account balances being paid timely and remaining current. Performs collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering routine to complex account inquiries. Performs responsibilities within standard procedures and pre-established guidelines to complete tasks. Supports and adheres to The US Oncology’s Compliance Program, to include the Code of Ethics and Business Standards, and The US Oncology’s Shared Values. The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer! 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. For more information, visit www.usoncology.com.

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
Uses technical and functional experience
Possesses up to date knowledge of the profession and industry
Accesses and uses available resources
Demonstrates adaptability
Handles day to day work challenges confidently
Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change
Shows resilience in the face of constraints, frustrations, or adversity
Demonstrates flexibility
Customer service: Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
Uses sound judgment
Makes timely, cost effective, and sound decisions
Makes decisions under conditions of uncertainty
Shows work commitment
Sets high standards of performance
Pursues aggressive goals and works efficiently to achieve them
Commits to quality
Emphasizes the need to deliver quality products and/or services
Defines standards for quality and evaluates products, processes, and services against those standards
Improves efficiencies

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 HIPAA laws and guidelines with regard to patient records
Performs other duties as requested or assigned