Patient Account Specialist

The US Oncology Network•Eugene, OR

5h•Onsite

About The Position

Willamette Valley Cancer Institute is seeking a Patient Account Specialist to join their team in Eugene, OR. This full-time role (1.0 FTE, 40 hours/week) operates under general supervision and is responsible for comprehensive account follow-up, resolving billing issues, and addressing patient inquiries. Key duties include setting up financial arrangements, employing collection techniques to manage accounts receivable, and monitoring for delinquent payments. The specialist is expected to uphold the US Oncology Compliance Program, including its Code of Ethics and Business Standards.

Requirements

High school graduate or equivalent required.
Minimum three years’ experience in a medical business office setting with insurance processing and balancing responsibilities.

Responsibilities

Performs audits of patient accounts to ensure accuracy and timely payment.
Reviews account aging’s monthly and reports inconsistencies and corrects errors as appropriate.
Contacts patients regarding delinquent accounts and arranges mutually acceptable payment schedules.
Follows up on insurance billing to ensure timely receipt of payments. Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.
Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; and exercises all options to obtain claim payments.
Reviews credit balance reports for correct recipient of refund.
Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks.
Identifies problems on accounts and follows through to conclusion.
Responds to insurance companies’ requests for information in a prompt and professional manner.
Reviews appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to appropriate court in a timely manner.
Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts.
Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.
Participates in maintaining Payor Manuals/Profiles.
Works closely with collection agency to assure that they receive updated information on accounts as necessary.
Prepares write-off requests with appropriate documentation and submits to supervisor.
Processes insurance/patient correspondence, including denial follow-up within 48 hours of receipt. Files all reimbursement correspondence daily.
Works with provided aging to monitor patient account aging’s and follows up appropriately. Maintains confidentiality in regard to patient account status and the financial affairs of clinic/corporation.
Other duties as assigned.