Insurance Specialist

POSTED ON 3/11/2021 AVAILABLE BEFORE 3/9/2022
The US Oncology Network Hired Organization Address Eugene, OR Full Time

Job Posting for Insurance Specialist at The US Oncology Network

Overview

Willamette Valley Cancer Institute is seeking an Insurance Specialist to join their team. Insurance Billing is a difficult field, and this position is compounded by the complexities of cancer care. Our team of Insurance Specialists work tirelessly to make sure insurance companies reimburse for stated coverage and patient’s out of pocket costs are as low as possible. A person who is comfortable on the phone, has experience and knowledge of insurance companies, EOBs, managing insurance denial processes, and medical terminology will find success in this role. Experience in AR and Insurance Follow Up is highly preferred. If you would like to be an advocate for patients, we want to hear from you!

 

Employment Type: Full Time, 40hr/week (1.0 FTE)
Benefits: M/D/V, Life Ins., 401(k)
Location: Eugene, OR

JOB SCOPE:        

Under general 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 and non-routine account inquiries. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology’s Shared Values.


Responsibilities

  • Reviews reports, researches and resolves issues pertaining to insurance denials
  • Works with co-workers to resolve insurance payment and billing errors
  • Reviews payment postings for accuracy and to ensure account balances are current
  • Accurately analyze EOBs to determine how payment responsibility is shared between patient and insurance company
  • Monitors and updates delinquent accounts status
  • Recommends accounts for collection or write-off
  • Contacts patients to verify 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
  • Assists in research in order to accurately report refunds
  • 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

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