Insurance Specialist

Overview The US Oncology Network is looking for an Insurance Specialist to join our team at Texas Oncology . This full‑time position supports the Radiation Oncology Department at 3001 E. President George Bush Hwy Ste 100, Richardson, Texas. Typical work week is Monday through Friday, eight hours between 8:00 AM and 5:00 PM. Note from Hiring Manager: You will receive in‑depth training, experience, and knowledge in radiation treatment and billing. 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 account 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 HIPAA laws and guidelines with regard to patient records. Performs other duties as requested or assigned. Qualifications Level 1 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 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 required. Demonstrate knowledge of medical coding, preferably oncology coding. Level Sr (in addition to level 1 and 2 requirements) Associate’s degree in Finance, Business or four years revenue cycle experience preferred. 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. Proficiency with computer systems and Microsoft Office (Word and Excel) required. Demonstrate knowledge of oncology medical coding. Demonstrate knowledge of state, federal, and third‑party claims processing required. Competencies Uses Technical and Functional Experience Possesses up‑to‑date knowledge of the profession and industry Accesses and uses resources when appropriate Demonstrates Adaptability Handles day‑to‑day work challenges confidently Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change Shows resilience in the face of constraints, frustrations, or adversity Demonstrates flexibility Customer Service Demonstrates 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 Judgment Makes timely, cost‑effective, and sound decisions Makes decisions under conditions of uncertainty Shows Work Commitment Sets high standards of performance Pursues aggressive goals and works efficiently to achieve them Commits to Quality Emphasizes the need to deliver quality products and/or services Defines standards for quality and evaluates products, processes, and services against those standards. Manages quality 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. 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 is an office environment with 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. #J-18808-Ljbffr