Insurance Specialist - Medical Oncology for AR Department

The US Oncology Network•Austin, TX

13d•Onsite

About The Position

The US Oncology Network is seeking an Insurance Specialist to join Texas Oncology in Austin, Texas. This full-time role supports the accounts receivable department and is scheduled Monday through Friday, either 7:30 a.m. to 4:00 p.m. or 8:00 a.m. to 4:30 p.m. The position monitors and resolves delinquent accounts, supports accurate payment posting and account balances, and works with colleagues to address insurance payment and billing errors. It also involves communicating with patients about past-due balances, billing, payments, and insurance; keeping demographic, insurance, and account information current; documenting conversations; and maintaining patient and payer credit balances and timely refunds. The role requires adherence to patient-record confidentiality and applicable state and federal laws and guidelines. The employer describes three qualification levels, with progressively greater experience and education expectations. The position is based in an office environment and includes regular contact with staff and patients, with potential exposure to conditions common to a clinic environment.

Requirements

High school diploma or equivalent required.
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.
Successfully complete required e-learning courses within 90 days of occupying the position.
Level 2 requires at least four years of combined medical billing and payment experience.
Level 2 requires knowledge of medical coding; oncology coding is preferred.
Senior level requires at least two years of insurance resolution experience with patients and payers, as well as four years of combined medical billing and payment experience.
Senior level requires proficiency with computer systems and Microsoft Word and Excel.
Senior level requires knowledge of oncology medical coding and state, federal, and third-party claims processing.
Demonstrate current technical and functional knowledge and use resources appropriately.
Adapt confidently to day-to-day challenges, shifting priorities, ambiguity, and change; demonstrate resilience and flexibility.
Demonstrate positive interpersonal relations with employees, supervisors, physicians, patients, and outside contacts.
Use timely, cost-effective, and sound judgment, including under uncertainty.
Set high performance standards, pursue goals efficiently, and emphasize quality and process improvement.

Nice To Haves

For Level 2, knowledge of oncology coding is preferred.
For Senior level, an associate degree in Finance or Business, or four years of revenue cycle experience, is preferred.

Responsibilities

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