Billing and Insurance Ar Specialist - Grand Rapids, United States - OneOncology

OneOncology

Verified Company

Grand Rapids, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

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 twoweek 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 selfpay balances.
Responds to incoming telephone or mail inquiries in a prompt, timely manner.
Completes writeoff 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 Multitasking, 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
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