Insurance Specialist

Overview We can't do it without YOU! Do you want to apply your experience, skills and education in a way that makes a meaningful and lasting difference in the lives of our patients and their families? At Tennessee Cancer Specialists, it is the privilege of our employees to walk with our patients and their families as they move along the journey of fighting cancer. Whether you are working directly with patients in one of our clinics or in a support role, you are an important part of our mission to deliver the highest quality, compassionate care. Our 300+ employees make up the teams at our 17 different East Tennessee locations! As an Insurance Specialist, you will follow up on patient accounts and confirm the accuracy of those accounts to ensure payor and patient payments are received in an appropriate amount of time. Responsibilities Here's what might happen on a typical day... In this role, you use your investigative skills to determine the reasoning for aging claims and recognize any trends among these aging claims. Your customer service skills will allow you to respectfully communicate with payors and compassionately work with our patients to collect payments. While it can be challenging to balance persistence to resolve an account with empathy, your professionalism allows you to do just that! Experiences that matter... Your attention to detail allows you to review and audit aging patient accounts to ensure accurate and timely payments and report any inconsistencies that might be found along the way. In conversations with patients, coworkers, and other professionals, you provide exceptional customer service through communicating respectfully, thoroughly listening to all shared details and asking any appropriate questions. Identifying errors on accounts and following through to conclusion is one of your many strengths. Your ability to connect with multiple types of personalities and professionals allows you to openly communicate in a timely manner with payors, collection agencies, coworkers, and patients. Backing up other members of the billing department with verifying and obtaining all necessary patient insurance and benefit coverage information confirms that you are a team player. Your go-getter work ethic will have you ready to jump in and help out with any additional tasks. Qualifications For your safety, keep this in mind: The position will require sitting for long periods of time with occasional stooping, bending, and stretching for supplies. Any lifting should be limited to 30 pounds or less. You will need sufficient manual dexterity for operating office equipment (keyboard, telephone, copier, etc.), and vision and hearing must be adequate for viewing computer screens for prolonged periods of time and hearing customers during in-person and telephone conversations. We feel this position requires these basics: A high school diploma or equivalent is required, but an associate's degree in a business‑related field would be even better! Your proficiency with computer systems and Microsoft Office (Outlook, Word, Excel, etc.) is a must. You either live in the Knoxville area or are in the process of relocating. This role is fully onsite and does not offer remote or hybrid work options. Lastly, we feel that you will be most successful with at least one year of prior experience in a similar position (accounts receivable, insurance verification, electronic billing) to provide you with the background needed for this position. MINIMUM QUALIFICATIONS 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 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 may be 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. #J-18808-Ljbffr