Insurance Specialist

Job Title

Employment Type: Full Time

REMOTE

Benefits: M/D/V, Life Ins., 401(k)

Range: $20-25/hour

SCOPE: With minimal 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 to complex account inquiries. Performs responsibilities within standard procedures and pre-established guidelines to complete tasks. Supports and adheres to The US Oncology's Compliance Program, to include the Code of Ethics and Business Standards, and The US Oncology's Shared Values

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. For more information, visit We extend an extremely competitive offering of benefits to employees, including medical, dental, and vision plans, 401k with a matching component, life insurance, short-term and long-term disability, and wellness programs.

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

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

Uses technical and functional experience

Possesses up to date knowledge of the profession and industry

Accesses and uses available resources

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

Improves 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 accommodation will be offered 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 accommodation will be offered to enable individuals with disabilities to perform the essential functions. Work is performed in a remote home office environment. Involves frequent interaction with other employees, payers and Practice staff.