AR Medical Insurance Specialist
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Job Description
Medical insurance specialist managing payer and patient balances for US Oncology Network, a community oncology care network. Resolving billing issues, collections, refunds, and insurance inquiries remotely.
Responsibilities:
- Monitor delinquent accounts and perform collection duties
- Review reports, research, and resolve issues
- Review payment postings for accuracy and ensure account balances are current
- Work with co-workers to resolve insurance payment and billing errors
- Monitor and update delinquent account status
- Recommend accounts for collection or write-off
- Answer patient payment, billing, and insurance questions and resolve complaints
- Contact patients to secure past due balances, verify patient demographics and insurance providers, update information in systems, and document conversations
- Refer patients to Patient Benefits Representative to set up payment plans when appropriate
- Maintain patient and payor credit balances, ensuring timely refunds within government guidelines and regulations
- Adhere to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records
- Perform other duties as requested or assigned
- Frequently interact with other employees, payers, and Practice staff
Requirements:
- 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
- Knowledge of HIPAA laws and guidelines regarding patient records
- Ability to use computer keyboard and mouse
- Vision and hearing corrected to normal ranges
- Ability to occasionally lift and/or move up to 30 pounds
Benefits:
- Medical, dental, and vision plans
- 401(k) with a matching component
- Life insurance
- Short-term and long-term disability
- Wellness programs
- Remote home office environment
- Reasonable accommodation for individuals with disabilities
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