Medical Insurance Specialist

Insurance SpecialistWith minimal 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 to complex account inquiries. Performs responsibilities within standard procedures and pre-established guidelines to complete tasks. A certain degree of creativity and latitude is required.

Supports and adheres to The US Oncology's Compliance Program, to include the Code of Ethics and Business Standards, and The US Oncology's Shared ValuesHourly Range: $27.85 - $36.00Essential Duties And ResponsibilitiesMonitors delinquent accounts and performs collection dutiesReviews reports, researches and resolves issuesReviews payment postings for accuracy and to ensure account balances are currentWorks with co-workers to resolve insurance payment and billing errorsMonitors and updates delinquent accounts statusRecommends accounts for collection or write-offContacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversationsAnswers patient payment, billing, and insurance questions and resolves complaintsMay refer patients to Patient Benefits Representative to set up payment plansMaintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulationsAdheres to confidentiality, state, federal, and HIPPA laws and guidelines with regard to patient recordsPerforms other duties as requested or assignedMinimum QualificationsHigh School diploma or equivalent requiredMinimum two (2) years combined medical billing and payment experience requiredDemonstrate knowledge of state, federal, and third party claims processing requiredDemonstrate knowledge of state & federal collections guidelinesMust successfully complete required e-learning courses within 90 days of occupying positionPhysical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.

Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.Work Environment: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients.

Work may require minimal travel by automobile to office sites.