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About the Role
The US Oncology Network is seeking an Insurance Specialist to support the Medical Oncology Department at Texas Oncology in Austin, Texas. This role involves managing delinquent accounts, resolving billing errors, and ensuring accurate payment postings within a community-based cancer care setting.
Responsibilities
- Monitor delinquent accounts and perform collection duties.
- Review reports, research, and resolve issues.
- Review payment postings for accuracy and to ensure account balances are current.
- Work with co-workers to resolve insurance payment and billing errors.
- Monitor and update delinquent accounts status.
- 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 payment, billing, and insurance questions and resolve complaints.
- Refer patients to Patient Benefits Representative to set up payment plans.
- Maintain credit balances of patients and payors, ensuring timely refunds within government guidelines.
- Adhere to confidentiality, state, federal, and HIPPA laws and guidelines regarding patient records.
- Perform other duties as requested or assigned.
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.
- Demonstrate knowledge of state & federal collections guidelines.
- Must successfully complete required e-learning courses within 90 days of occupying position.
- Minimum four (4) years combined medical billing and payment experience required (Level 2).
- Demonstrate knowledge of medical coding, preferably oncology coding (Level 2).
- Associates degree in Finance, Business or four years revenue cycle experience preferred (Level Sr).
- Minimum two (2) years insurance resolution experience resolving issues with patients and payers as well as four (4) years combined medical billing and payment experience required (Level Sr).
- Proficiency with computer systems and Microsoft Office (Word and Excel) required (Level Sr).
- Demonstrate knowledge of oncology medical coding (Level Sr).
- Demonstrate knowledge of state, federal, and third-party claims processing required (Level Sr).
Skills
- Technical and Functional Experience
- Adaptability
- Flexibility
- Customer Service
- Sound Judgment
- Work Commitment
- Commitment to Quality
- Microsoft Office (Word and Excel)
Location
- Austin, Texas
Work Type
- Full-time
- Office environment
Experience Level
- Level 1
- Level 2
- Level Sr
Education Level
- High School diploma or equivalent
- Associates degree in Finance, Business
About the Company
- The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America.
- Texas Oncology delivers high-quality, evidence-based care to patients close to home.
- Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas.
- Texas Oncology's founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities.
- Texas Oncology uses leading-edge technology and research to deliver high-quality, evidence-based cancer care.
- 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.