Insurance Specialist

1 day ago


Austin, Texas, United States Texas Oncology Full time
Overview

The US Oncology Network is seeking a highly skilled Insurance Specialist to join our team at Texas Oncology. This full-time position will be based in Austin, TX, and will support our Regional Business Office. The ideal candidate will have a strong background in medical billing and payment, as well as experience with insurance claims processing and resolution.

Responsibilities
  • Monitor delinquent accounts and perform collection efforts with payers.
  • Identify trends with payors and report to leadership in a timely manner.
  • Attend payor calls with regional representatives to resolve issues collaboratively.
  • Prepare comprehensive appeals to resolve denials with insurance companies.
  • Review reports, research, and resolve issues related to payment postings and account balances.
  • Work with colleagues to resolve insurance payment and billing errors.
  • Monitor and update delinquent accounts status.
  • Recommend accounts for collection or write-off.
  • Contact patients to secure past due balances and verify patient demographics and insurance providers.
  • Maintain credit balances of patients and payors, ensuring timely refunds within government guidelines and regulations.
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.
  • Demonstrate knowledge of state and federal collections guidelines.
  • CPC certification preferred.
Work Environment

The work environment for this position is an office setting, with frequent contact with staff. The employee will be exposed to direct contact with patients and potential exposure to blood, toxic substances, ionizing radiation, and other conditions common to a clinic environment.



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