Insurance Specialist - Texas Oncology

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 US Oncology's Shared Values Texas Oncology delivers high-quality, high-touch care to help cancer patients achieve More breakthroughs. More victories. in their fight against cancer. We are an independent, physician-led practice delivering leading-edge technology and treatment options and conducting innovative research. Founders of the practice pioneered community-based care to enable more cancer patients to receive high-quality care while staying close to the critical support of family and friends. Texas Oncology has more than 150 sites of service throughout Texas, with more than 350 physicians dedicated to serving our patients. On average, we treat more than 50,000 new cancer patients each year, with documented growth year over year. Texas Oncology pioneered the concept of community-based, outpatient, multidisciplinary cancer centers. We give local communities access to leading-edge technology that was previously only available in larger metropolitan areas. Texas Breast Specialists and Texas Urology Specialists are a part of Texas Oncology. Texas Oncology is an affiliate of The U.S. Oncology Network, which is owned by McKesson Specialty Health, a division of McKesson Corporation. 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 MINIMUM QUALIFICATIONS Oncology experience highly preferred 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 COMPETENCIES Uses Technical and Functional Experience Possesses up to date knowledge of the profession and industry Accesses and uses resources when appropriate Demonstrates Adaptability Handles day to day work challenges confidently Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change Shows resilience in the face of constraints, frustrations, or adversity Demonstrates flexibility Customer Service o Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized. Uses Sound Judgment Makes timely, cost effective, and sound decisions Makes decisions under conditions of uncertainty Shows Work Commitment Sets high standards of performance Pursues aggressive goals and works efficiently to achieve them Commits to Quality Emphasizes the need to deliver quality products and/or services Defines standards for quality and evaluates products, processes, and services against those standards Manages quality Improves efficiencies The vision of Texas Oncology is to be the premier provider of oncology and hematology care in the Southwest. We have high standards for patient satisfaction and offer exceptional value in cancer care. We also strive to advance clinical research and develop innovative approaches to treatment of oncology and hematology disorders. The mission of Texas Oncology is to provide ""More breakthroughs. More victories."" To this end, we give patients access to the highest quality cancer care available today within their own local communities. Our cutting-edge technologies, treatments and research are offered in welcoming and comfortable environments. We maintain comprehensive quality oversight and responsible financial management. At all times, we pride ourselves in being moral, ethical and efficient as a medical practice and employer. 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. "Come join our growing organization and enjoy knowing that you work for an organization dedicated to making the lives of others better." The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. Category: Administrative *HEC *CB GL Coding (53830 - 8764) SCOPE:• Under general supervision, is responsible for payer and patient account balances being paid timely and remai...