The US Oncology Network
Join to apply for the
Insurance Specialist
role at
The US Oncology Network 1 day ago Be among the first 25 applicants Join to apply for the
Insurance Specialist
role at
The US Oncology Network Overview
This position will work 7:30am-5:30pm, 8 hour shifts, Monday-Friday and also desires the candidate to live within a commutable distance to the Central Business Office location.
This position can be either a level 1, 2 or Sr based on candidate experience. Overview
The US Oncology Network
is looking for a n
Insurance Specialist
to join our team at
Texas Oncology
! This
full time hybrid remote
position will support our Central Business Office location in Richardson, TX.
This position will work 7:30am-5:30pm, 8 hour shifts, Monday-Friday and also desires the candidate to live within a commutable distance to the Central Business Office location.
This position can be either a level 1, 2 or Sr based on candidate experience.
As a part of
The
US Oncology Network ,
Texas Oncology
delivers high-quality, evidence-based care to patients close to home.
Texas Oncology
is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same todayat Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve More breakthroughs. More victories. in their fight against cancer. Today,
Texas Oncology
treats half of all Texans diagnosed with cancer on an annual basis.
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.
What does the Insurance Specialist do?
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, 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 Oncologys Shared Values .
Responsibilities
The essential duties and responsibilities:
Monitors delinquent accounts and performs collection efforts with payers. Identifies trends with payor and reports to leadership timely. Attends payor calls with regional representatives for collaborative resolution. Prepares comprehensive appeals to resolve denials with insurance companies. Reviews reports, researches and resolves issues . Reviews payment postings for accuracy and to ensure account balances are accurate. 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. 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 HIPAA laws and guidelines with regard to patient records . Performs other duties as requested or assigned .
Qualifications
The ideal candidate for the position will have the following background and experience:
Level 1
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 . CPC certification preferred. Accounts Receivable experience strongly preferred.
Requirements
Level 2 (in addition to level 1 requirements)
Minimum four (4) years combined medical billing and payment experience required Demonstrate knowledge of medical coding, preferably oncology coding
Level Sr (in addition to level 1 and 2 requirements)
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
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 regularly required to sit and use hands to manipulate a computer keyboard and mouse. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations maybe made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment.
Seniority level
Seniority level
Entry level Employment type
Employment type
Full-time Job function
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Insurance Specialist
role at
The US Oncology Network 1 day ago Be among the first 25 applicants Join to apply for the
Insurance Specialist
role at
The US Oncology Network Overview
This position will work 7:30am-5:30pm, 8 hour shifts, Monday-Friday and also desires the candidate to live within a commutable distance to the Central Business Office location.
This position can be either a level 1, 2 or Sr based on candidate experience. Overview
The US Oncology Network
is looking for a n
Insurance Specialist
to join our team at
Texas Oncology
! This
full time hybrid remote
position will support our Central Business Office location in Richardson, TX.
This position will work 7:30am-5:30pm, 8 hour shifts, Monday-Friday and also desires the candidate to live within a commutable distance to the Central Business Office location.
This position can be either a level 1, 2 or Sr based on candidate experience.
As a part of
The
US Oncology Network ,
Texas Oncology
delivers high-quality, evidence-based care to patients close to home.
Texas Oncology
is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same todayat Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve More breakthroughs. More victories. in their fight against cancer. Today,
Texas Oncology
treats half of all Texans diagnosed with cancer on an annual basis.
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.
What does the Insurance Specialist do?
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, 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 Oncologys Shared Values .
Responsibilities
The essential duties and responsibilities:
Monitors delinquent accounts and performs collection efforts with payers. Identifies trends with payor and reports to leadership timely. Attends payor calls with regional representatives for collaborative resolution. Prepares comprehensive appeals to resolve denials with insurance companies. Reviews reports, researches and resolves issues . Reviews payment postings for accuracy and to ensure account balances are accurate. 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. 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 HIPAA laws and guidelines with regard to patient records . Performs other duties as requested or assigned .
Qualifications
The ideal candidate for the position will have the following background and experience:
Level 1
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 . CPC certification preferred. Accounts Receivable experience strongly preferred.
Requirements
Level 2 (in addition to level 1 requirements)
Minimum four (4) years combined medical billing and payment experience required Demonstrate knowledge of medical coding, preferably oncology coding
Level Sr (in addition to level 1 and 2 requirements)
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
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 regularly required to sit and use hands to manipulate a computer keyboard and mouse. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations maybe made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment.
Seniority level
Seniority level
Entry level Employment type
Employment type
Full-time Job function
Job function
Other Industries
Hospitals and Health Care Referrals increase your chances of interviewing at The US Oncology Network by 2x Get notified about new Insurance Specialist jobs in
Richardson, TX . Account Associate - State Farm Agent Team Member
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Frisco, TX $40,000.00-$80,000.00 11 months ago Life/Health Insurance Position - State Farm Agent Team Member
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Account Associate - State Farm Agent Team Member
Frisco, TX $75,000.00-$130,000.00 1 year ago Insurance Account Representative - State Farm Agent Team Member
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Dallas, TX $40,000.00-$60,000.00 2 years ago Entry level to insurance agency owner remote (Plano, TX)
Plano, TX $75,000.00-$200,000.00 2 months ago Insurance Staff Position - State Farm Agent Team Member
Little Elm, TX $48,000.00-$72,000.00 6 months ago Life Insurance Position - State Farm Agent Team Member
Richardson, TX $45,000.00-$65,000.00 2 months ago Remote Insurance Customer Service Representative (Unlicensed)
Dallas, TX $51,807.00-$83,551.00 2 weeks ago Account Associate - State Farm Agent Team Member
Mesquite, TX $35,000.00-$55,000.00 7 months ago Insurance Account Position - State Farm Agent Team Member
Dallas, TX $60,000.00-$80,000.00 5 months ago Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr