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Medical Insurance Specialist-remote

2 months ago

Clifton Park, United States The US Oncology Network Full time

Overview:
Employment Type : Full Time

**REMOTE Position**

Benefits : M/D/V, Life Ins., 401(k)PTO, Paid Holidays

Clifton Park, New York

Pay Range: $18-$24 hourly

**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 The US Oncology's Shared Values.

**The US Oncology Network **is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes **Come join our team in the fight against cancer**

**About US Oncology**

**Responsibilities**:
**ESSENTIAL DUTIES AND RESPONSIBILITIES**
- Monitors delinquent accounts and performs collection duties
- Reviews reports, researches and resolves issues
- Reviews payment postings for accuracy and to ensure account balances are current
- Works with co-workers to resolve insurance payment and billing errors
- Monitors and updates delinquent accounts status
- Recommends accounts for collection or write-off
- Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations.
- Answers patient payment, billing, and insurance questions and resolves complaints.
- Contacts patients to secure past due balances, verifies patient 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
- Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations
- Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regard to patient records
- Performs other duties as requested or assigned

Qualifications:
**MINIMUM 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