Insurance Specialist

Overview Texas Oncology, part of the US Oncology Network, is looking for an Insurance Specialist to support the Radiation Oncology Department at 3001 E. President George Bush Hwy Ste 100, Richardson, Texas. This full‑time position requires Monday‑Friday, eight‑hour days from 8:00 a.m. to 5:00 p.m. You will receive in‑depth training in radiation treatment 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 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. Level1 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 and federal collections guidelines. Must successfully complete required e‑learning courses within 90 days of occupying the position. Level2 Qualifications (In addition to Level1) Minimum four (4) years combined medical billing and payment experience required. Demonstrate knowledge of medical coding, preferably oncology coding. Senior Level Qualifications (In addition to Level1 and 2) Associate’s degree in Finance, Business or preferred four‑year revenue‑cycle experience. Minimum two (2) years insurance resolution experience and 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 orientation. Demonstrates positive interpersonal relations with employees, supervisors, physicians, patients, and outside contacts to maximize productivity and positive relations. Uses sound judgment. Makes timely, cost‑effective, and sound decisions. Makes decisions under conditions of uncertainty. Shows work commitment. Sets high performance standards. Pursues aggressive goals and works efficiently to achieve them. Commits to quality. Emphasizes delivering quality products or services. Defines standards for quality and evaluates products, processes, and services against those standards. Manages quality. Improves efficiencies. Physical Demands 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. Vision and hearing must be corrected to normal ranges. Work Environment Work is performed in an office environment with frequent contact with staff. The employee is regularly exposed to direct contact with patients with potential exposure to blood, toxic substances, ionizing radiation, and other conditions common to a clinic environment. #J-18808-Ljbffr