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Insurance Specialist - Billing Follow-Up

$20.75 - $32.84 per hour

PRISM Vision Group

Insurance Specialist

It may sound clich, but it is true. A career taking care of cancer patients is a calling for most all of us. It's much more than a job. Each of us has a unique story that brought us to Compass Oncology, but those stories usually share common themes of care, compassion, and commitment. No matter the role each Compass team member serves in, the goal is the same: to provide the best care possible for every one of our patients.

Compass Oncology is seeking an Insurance Specialist to join their team. Our team of Insurance Specialists work tirelessly to make sure insurance companies reimburse for stated coverage and patient's out of pocket costs are as low as possible. A person who is comfortable on the phone, has experience and knowledge of insurance companies, EOBs, and medical terminology will find success in this role. Experience in AR and Insurance Follow Up is preferred. If you would like to be an advocate for patients, we want to hear from you!

Employment Type: Full-Time, 40 Hours M-F Location: Central Business Office (Vancouver, Washington)

Salary Range: $20.75- $32.84 per hour

JOB SCOPE:

Under general supervision, is responsible for payer and patient account balances being paid timely and remaining current. Performs collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering routine and non-routine account inquiries. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values.

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 HIPAA laws and guidelines with regard to patient records
  • Performs other duties as requested or assigned

Qualifications:

Education: High School diploma or equivalent required.

Experience/Training:

  • Minimum (2) years of combined medical billing and payment experience required.
  • Demonstrated knowledge of state, federal, and third-party claims processing required.
  • Demonstrated knowledge of state & federal collections guidelines.

More About the Company:

Compass Oncology team brings together leading cancer experts in the fields of surgical, medical and radiation oncology, pathology and palliative care to provide the most comprehensive cancer care possible and an even more cohesive patient experience. In addition, the majority of our physicians specialize in particular cancer types, bringing a heightened level of expertise to our patients. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity where you are proud of what you do, work hard, have fun, want to learn and go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you!

As a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. We serve the Portland and Vancouver communities with clinical offices located throughout the metro area.

Our Benefits:

When you feel supported, both from a health and financial wellness perspective, you have the energy and motivation to make good things happen whether it is caring for patients, caring for yourself and your family, or giving back to your community. That's why Compass Oncology offers a full suite of competitive benefits that support your physical, mental and financial well-being. From health and wellness programs, to retirement education and plans, we give you the tools to make great choices for your health and financial wellbeing now and in the future.

For benefit-eligible employees who work 20 hours or greater, we proudly offer the following:

  • Medical, Dental, Vision, Life and Disability
  • HSA and Flexible Spending Accounts
  • Critical Illness, Hospital, and Legal Plans
  • PTO and Holiday Plans
  • Retirement Savings Plans
  • Robust Wellness Program and Incentives
  • EAP
  • Perks
  • Jeans Fridays!

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

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. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range. 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. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment.

PRISM Vision Group
Vacancy posted 15 hours ago
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