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Insurance AR Specialist

OneOncology
USA
Full-time
Mid · 3+ years experience
Onsite
Discovered 1 weeks ago

Full Job Posting

Responsibilities:

  • Works and/or maintains every account in the assigned AR in the 60+ day categories. Reviews EOBs within a two-week turnaround.
  • Documents accurate collection activity in the collection tracking notes.
  • Evaluates status of accounts and prioritizes collection action (letters, phone calls, staff assistance).
  • Calls on outstanding balances due from carriers in a timely manner.
  • Telephone, interview, and counsel patients on outstanding self-pay balances.
  • Responds to incoming telephone or mail inquiries in a prompt, timely manner.
  • Completes write-off adjustment forms for accounts needing necessary adjustments and turns in to supervisor with appropriate documentation attached.
  • Maintains collection logs for distribution to other teams for use in identifying areas needing attention/correction.
  • Advises supervisor of any unusual collection accounts as they become delinquent or are in question.
  • Prepares daily user reports for supervisor review and filing along with appropriate notes/documentation.
  • Works with other departments to gather necessary information for proper account work/collection activity.
  • Maintains a complete understanding of HCPCS/ICD/CPT oncology coding and specific carrier requirements/knowledge.
  • Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.

Required Qualifications:

  • High school diploma or equivalent required
  • Bachelor’s degree preferred
  • Minimum of 3 years of experience in medical collections required, preferably in an Oncology healthcare setting
  • Radiation Oncology/Proton experience a plus
  • Expertise in insurance policies and regulations related to medical billing, including Medicare and Medicaid
  • Essential Competencies:
  • Attendance is an essential job function.
  • Detailed knowledge of billing, HCPCS, CPT and ICD codes
  • Previous commercial collections experience preferred
  • Ability to work effectively with all levels of management and other colleagues, demonstrating initiative, mature judgment and customer service orientation.
  • Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations.
  • Exceptional Multi-tasking, organizational skills and superb attention to detail.
  • Strong analytical skills
  • Skill in negotiating issues and resolving problems.
  • Excellent customer service skills.
  • Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), database and patient billing and other medical information systems.
  • Ability to operate various types of office equipment.
  • Must possess high degree of professionalism and adaptability.
  • #LI-REMOTE

Preferred Qualifications

  • Bachelor’s degree preferred
  • Radiation Oncology/Proton experience a plus
  • Previous commercial collections experience preferred

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