AR Medical Insurance Specialist - Remote

The US Oncology Network•Norfolk, NY

3d•Remote

About The Position

This is a full-time, remote position responsible for ensuring timely payment of payer and patient account balances. The role involves collection activities such as monitoring delinquent accounts, contacting patients for payment, resolving billing problems, and responding to account inquiries. The specialist will perform duties within standard procedures and guidelines, supporting The US Oncology’s Compliance Program, Code of Ethics, Business Standards, and Shared Values. The US Oncology Network is a leading organization in advancing cancer care, supported by McKesson Corporation, and is dedicated to empowering community patient care delivery systems.

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.

Nice To Haves

Uses Technical and Functional Experience
Possesses up to date knowledge of the profession and industry
Accesses and uses resources when appropriate
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
Manages quality
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.