AR Medical Insurance Specialist
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Job Description
Medical insurance specialist managing payer and patient balances for The US Oncology Network, a community-based oncology care network. Resolving billing issues and insurance questions remotely.
Responsibilities:
- Monitor delinquent accounts and perform collection duties
- Review reports, research issues, and resolve problems
- 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
- Contact patients to secure past-due balances, verify demographics and insurance providers, update system information, and document conversations
- Answer patient payment, billing, and insurance questions and resolve complaints
- Refer patients to Patient Benefits Representatives for payment plans when appropriate
- Maintain patient and payor credit balances and ensure timely refunds under government guidelines and regulations
- Adhere to The US Oncology’s Compliance Program, Code of Ethics, Business Standards, Shared Values, confidentiality requirements, and HIPAA guidelines
- Perform other duties as requested or assigned
Requirements:
- High School diploma or equivalent required
- Minimum two (2) years combined medical billing and payment experience required
- Knowledge of state, federal, and third party claims processing required
- Knowledge of state and federal collections guidelines
- Must successfully complete required e-learning courses within 90 days of occupying position
- Ability to comply with confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records
- Ability to sit and use a computer keyboard and mouse regularly
- Occasionally stand, walk, reach, and lift or move up to 30 pounds
- Vision and hearing corrected to normal ranges
Benefits:
- Medical, dental, and vision plans
- 401(k) with a matching component
- Life insurance
- Short-term and long-term disability
- Wellness programs
- Remote work in a home office environment
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