Supervisor, Insurance AR

OneOncology
Remote

About The Position

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision. This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Requirements

  • Knowledge of insurance coverage guidelines.
  • Excellent written and verbal communication skills.
  • Ability to apply good judgment.
  • Ability to meet deadlines.
  • Knowledge of clinic office procedures, medical practice and medical terminology.
  • Ability to interpret, adapt and apply guidelines and policies and procedures.
  • Ability to successfully organize, delegate, and supervise.
  • Ability to recognize, evaluate and solve problems.
  • Ability to successfully plan, implement and manage multiple projects simultaneously.
  • Strong organizational skills and attention to detail.
  • Strong knowledge of Windows-based software applications. (E.g.: Word, Excel, Outlook…)
  • Excellent Customer Service skills.

Nice To Haves

  • Bachelor’s degree or equivalent healthcare related experience preferred.
  • Basic understanding of oncology practice management preferred, in-depth understanding of insurance.

Responsibilities

  • Review Insurance A/R monthly for identification of excess aging brackets.
  • Review monthly benchmarks for staff and prepare reports for distribution and discussion.
  • Monitor tasks for aged and high balance accounts.
  • Review and approve all collection adjustments (write-offs, refunds, collection agency referral, probate) up to approved threshold from each collector daily.
  • Receives, tracks and reviews medical record requests escalating priority requests for manager approval.
  • Conduct training of new collectors and ongoing training with collection team.
  • Perform daily collections duties including discussing accounts with patients, setting up payment arrangements, insurance refiles and appeals and other collector duties as needed for coverage.
  • Assist in the development of team policy and procedure manuals as directed by manager.
  • Monitors and reports volume of work as well as any outstanding issues to applicable manager.
  • Assess workflow and develop strategy to complete all necessary work prioritizing tasks as necessary.
  • Review & approve employee time for semi-monthly payroll.
  • Monitor overtime.
  • Monitor occurrences for counseling related to the attendance policy.
  • Manage employee activity such as interviews, job performance, quarterly performance reviews and disciplinary actions with appropriate approvals as required.
  • Complete PeX plans quarterly for review with manager and staff.
  • Manage employee relations issues appropriately as they arise and escalate to manager as necessary.
  • Prepare end of month report highlighting pertinent issues for management review.
  • Assist in various projects and other duties assigned by manager.
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