Insurance Specialist II

Insurance SpecialistThe US Oncology Network is looking for an Insurance Specialist to join our team at Texas Oncology. This full-time position will support the Surgery Department at our 3001 E. President George Bush Highway Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday, 8:30a - 5:00p. Must currently reside in Texas.Note from Hiring Manager: We provide ongoing training support and celebrate everyone's contributions to our success!As a part of The US Oncology Network, 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, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today—at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories."® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. 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.ResponsibilitiesThe essential duties and 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 HIPPA laws and guidelines with regard to patient records.Performs other duties as requested or assigned.QualificationsThe ideal candidate for the position will have the following background and experience:Level 1High 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.Level 2 (in addition to level 1 requirements)Minimum four (4) years combined medical billing and payment experience requiredDemonstrate knowledge of medical coding, preferably oncology codingLevel Sr (in addition to level 1 and 2 requirements)Associates degree in Finance, Business or four years revenue cycle experience preferredMinimum two (2) years insurance resolution experience resolving issues with patients and payers as well as four (4) years combined medical billing and payment experience requiredProficiency with computer systems and Microsoft Office (Word and Excel) requiredDemonstrate knowledge of oncology medical codingDemonstrate knowledge of state, federal, and third party claims processing requiredCompetenciesUses Technical and Functional ExperiencePossesses up to date knowledge of the profession and industryAccesses and uses resources when appropriateDemonstrates AdaptabilityHandles day to day work challenges confidentlyIs willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid changeShows resilience in the face of constraints, frustrations, or adversityDemonstrates flexibilityCustomer ServiceDemonstrates 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 JudgmentMakes timely, cost effective, and sound decisionsMakes decisions under conditions of uncertaintyShows Work CommitmentSets high standards of performancePursues aggressive goals and works efficiently to achieve themCommits to QualityEmphasizes the need to deliver quality products and/or servicesDefines standards for quality and evaluates products, processes, and services against those standardsManages qualityImproves efficiencies Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to manipulate a computer keyboard and mouse. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations maybe made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment.