Job Posting for Insurance Specialist at The US Oncology Network
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
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.
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
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