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Medical Insurance Specialist/AR Follow-Up - Norfolk, United States - Regional Business Office
Description
Overview:
Employment Type: Full Time
In-Office Position
Benefits: M/D/V, Life Ins., 401(k)
Norfolk, VA
Pay:$20-$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 Oncologys 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
The US Oncology Network is one of the nations largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Monitors delinquent accounts and performs collection duties
Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, and resubmits claim to payer
Reviews payment postings for accuracy and to ensure account balances are current
Works with co-workers to resolve payment and billing errors
Monitors and updates delinquent accounts status
Recommends accounts for collection or write-off
Verifies existing patients have necessary referral and/or authorization documentation prior to examination date
Contacts and follows up with patients physician for any missing or incomplete documentation
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
Contacts third party payors to resolve payor issues, expedite claim processing, and maximize medical claim reimbursement
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
Proactively identifies processes and procedures and develops tools to improve efficiencies
Performs other duties as requested or assigned
MINIMUM QUALIFICATIONS
High School diploma or equivalent required
Associates degree in Finance, Business or four years revenue cycle experience preferred
Minimum two (2) years insurance resolution experience resolving issues with patients and payers as well as four (4) years combined medical billing and payment experience required
Proficiency with computer systems and Microsoft Office (Word and Excel) required
Demonstrate knowledge of oncology medical coding
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
PHYSICAL 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.
