Insurance Specialist - Medical Oncology for AR Department
The US Oncology Network · Austin, TX, US
11 days agoImpress employers and recruiters.
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About the Role
The US Oncology Network is seeking an Insurance Specialist to support Texas Oncology at their Austin, TX location. This role is crucial in managing patient accounts, ensuring accurate billing, and resolving insurance-related issues to support the delivery of high-quality cancer care.
Responsibilities
- Monitor delinquent accounts and perform collection duties.
- Review reports, research, and resolve issues.
- Review payment postings for accuracy and ensure account balances are current.
- Collaborate with coworkers to resolve insurance payment and billing errors.
- Monitor and update delinquent account statuses.
- Recommend accounts for collection or write-off.
- Contact patients to secure past due balances, verify demographics and insurance, update systems, and document conversations.
- Answer patient payment, billing, and insurance questions and resolve complaints.
- Refer patients to Patient Benefits Representative for payment plan setup.
- Maintain credit balances for 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 the 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 (Level Sr).
- Proficiency with computer systems and Microsoft Office (Word and Excel) required (Level Sr).
- Demonstrate knowledge of oncology medical coding (Level Sr).
- Regularly required to sit and use hands to manipulate a computer keyboard and mouse.
- Occasionally required to stand, walk, and reach with hands and arms.
- Must occasionally lift and/or move up to 30 pounds.
- Requires vision and hearing corrected to normal ranges.
Skills
- Technical and Functional Experience
- Up-to-date knowledge of the profession and industry
- Accessing and using resources appropriately
- Adaptability
- Handling day-to-day work challenges confidently
- Willingness and ability to adjust to multiple demands, shifting priorities, ambiguity, and rapid change
- Resilience in the face of constraints, frustrations, or adversity
- Flexibility
- Customer Service
- Positive interpersonal relations
- Sound Judgment
- Making timely, cost-effective, and sound decisions
- Making decisions under conditions of uncertainty
- Work Commitment
- Setting high standards of performance
- Pursuing aggressive goals and working efficiently to achieve them
- Commitment to Quality
- Emphasizing the need to deliver quality products and/or services
- Defining standards for quality and evaluating products, processes, and services against those standards
- Managing quality
- Improving efficiencies
- Proficiency with computer systems
- Microsoft Office (Word and Excel)
Location
- Austin, TX
Work Type
- Full-time
- Office environment
Experience Level
- Minimum two (2) years combined medical billing and payment experience
- Minimum four (4) years combined medical billing and payment experience
- Minimum two (2) years insurance resolution experience
- Four (4) years revenue cycle experience
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 is the largest community oncology provider in the country with approximately 530 providers in 280+ sites across Texas.
- Texas Oncology delivers high-quality, evidence-based care to patients close to home.
- 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.