Billing and Insurance Ar Specialist

2 weeks ago


Grand Rapids, United States OneOncology Full time

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.

**Job Description**:
**Responsibilities**:
- Works and/or maintains every account in the assigned AR in the 45+ 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 that need review.- Review claim edit failures and correct billing for clean claim submissions.- 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.- Work with other members of the RCM team to ensure clean claims and timely payment.- 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.

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.Ability to operate various types of office equipment.-
- Must possess high degree of professionalism and adaptability.- 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- #LI-LK1- #LI-REMOTE


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