Texas Oncology
Join to apply for the
Insurance Specialist Lead
role at
Texas Oncology 2 days ago Be among the first 25 applicants Join to apply for the
Insurance Specialist Lead
role at
Texas Oncology Get AI-powered advice on this job and more exclusive features. Overview
This position will work Monday-Friday 8am-5pm. Additionally, it is desired that the candidate reside in Texas.
As a part of Overview
The US Oncology Network
is looking for an
Insurance Specialist Lead
to join our team at
Texas Oncology ! This
full time hybrid remote
position
will support our Regional Business Office at 8501 N. Mopac Suite 310 Austin, Texas 78759.
This position will work Monday-Friday 8am-5pm. Additionally, it is desired that the candidate reside in Texas.
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 Lead do?
With little or no supervision, monitors the revenue cycle work load and reassigns work as necessary to meet deadlines. Performs all revenue cycle job responsibilities as needed to meet deadlines. Utilizes broad range of knowledge including operating procedures, policies, regulations, and systems to accomplish responsibilities. A certain degree of creativity and latitude is required. 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:
Directs the revenue cycle work load of co-workers including auditing work for accuracy and completeness, re-assigning work, and establishing priorities Reviews reports to verify that collection and billing submission tasks are completed and deadlines are met Provides procedure guidance and direction to co-workers May research, resolve, or provide direction on co-workers escalated issues Trains co-workers on policies and procedures 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 Spot checks patient charts for completeness Contacts clinical staff for clarification on procedures or diagnosis and on missing information Reviews reports for claim denials and works with co-workers on status and problem resolution Reviews payment postings for accuracy and to ensure account balances are current Performs detailed account reconciliation to resolve issues Codes, processes, and submits insurance claims to third party payor Identifies and reports any payer trends, denial patterns, and delays to management and recommends write-offs Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regard to patient records Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations Proactively identifies revenue cycle process and procedure gaps and develops tools to improve efficiencies Maintains and updates the Practices revenue cycle Standard Operating Procedures (SOPs) Trains coworkers on revenue cycle policies and procedures May develop training materials and tools Performs other duties as requested or assigned
Qualifications
The ideal candidate for the position will have the following background and experience:
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 payors as well as four (4) years combined automated medical billing and payment experience required Proficiency with computer systems and Microsoft Office (Word and Excel) required Demonstrate knowledge of oncology medical coding required Demonstrate knowledge of medical billing, payment, financial aid, insurance, and payor processes and procedures Demonstrate knowledge of state, federal, and third party claims processing required Demonstrate knowledge of state and federal collections guidelines required 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. The position requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. The position requires standing and walking for extensive periods of time. The employee occasionally lifts and carries items weighing up to 40 lbs. The position 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.
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Insurance Specialist Lead
role at
Texas Oncology 2 days ago Be among the first 25 applicants Join to apply for the
Insurance Specialist Lead
role at
Texas Oncology Get AI-powered advice on this job and more exclusive features. Overview
This position will work Monday-Friday 8am-5pm. Additionally, it is desired that the candidate reside in Texas.
As a part of Overview
The US Oncology Network
is looking for an
Insurance Specialist Lead
to join our team at
Texas Oncology ! This
full time hybrid remote
position
will support our Regional Business Office at 8501 N. Mopac Suite 310 Austin, Texas 78759.
This position will work Monday-Friday 8am-5pm. Additionally, it is desired that the candidate reside in Texas.
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 Lead do?
With little or no supervision, monitors the revenue cycle work load and reassigns work as necessary to meet deadlines. Performs all revenue cycle job responsibilities as needed to meet deadlines. Utilizes broad range of knowledge including operating procedures, policies, regulations, and systems to accomplish responsibilities. A certain degree of creativity and latitude is required. 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:
Directs the revenue cycle work load of co-workers including auditing work for accuracy and completeness, re-assigning work, and establishing priorities Reviews reports to verify that collection and billing submission tasks are completed and deadlines are met Provides procedure guidance and direction to co-workers May research, resolve, or provide direction on co-workers escalated issues Trains co-workers on policies and procedures 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 Spot checks patient charts for completeness Contacts clinical staff for clarification on procedures or diagnosis and on missing information Reviews reports for claim denials and works with co-workers on status and problem resolution Reviews payment postings for accuracy and to ensure account balances are current Performs detailed account reconciliation to resolve issues Codes, processes, and submits insurance claims to third party payor Identifies and reports any payer trends, denial patterns, and delays to management and recommends write-offs Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regard to patient records Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations Proactively identifies revenue cycle process and procedure gaps and develops tools to improve efficiencies Maintains and updates the Practices revenue cycle Standard Operating Procedures (SOPs) Trains coworkers on revenue cycle policies and procedures May develop training materials and tools Performs other duties as requested or assigned
Qualifications
The ideal candidate for the position will have the following background and experience:
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 payors as well as four (4) years combined automated medical billing and payment experience required Proficiency with computer systems and Microsoft Office (Word and Excel) required Demonstrate knowledge of oncology medical coding required Demonstrate knowledge of medical billing, payment, financial aid, insurance, and payor processes and procedures Demonstrate knowledge of state, federal, and third party claims processing required Demonstrate knowledge of state and federal collections guidelines required 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. The position requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. The position requires standing and walking for extensive periods of time. The employee occasionally lifts and carries items weighing up to 40 lbs. The position 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.
Seniority level
Seniority level
Mid-Senior level Employment type
Employment type
Full-time Job function
Job function
Other Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Texas Oncology by 2x Sign in to set job alerts for Insurance Specialist roles.
Account Associate - State Farm Agent Team Member
Insurance Authorization Specialist- *Must Reside In Texas*
Life Insurance Position - State Farm Agent Team Member
Austin, TX $70,000.00-$100,000.00 1 year ago Account Associate - State Farm Agent Team Member
Austin, TX $40,000.00-$60,000.00 4 months ago Entry Level Insurance Professional w Leadership Trajectory
Austin, TX $55,000.00-$90,000.00 3 weeks ago Round Rock, TX $65,000.00-$68,500.00 4 days ago Medical Biller - Insurance A/R Specialist
Entry level to insurance agency owner remote (Austin, TX)
Austin, TX $75,000.00-$200,000.00 2 months ago Account Associate - State Farm Agent Team Member
Hutto, TX $60,000.00-$80,000.00 1 year ago Insurance and Financial Services Position - State Farm Team Member
Austin, TX $52,500.00-$87,500.00 1 month ago Austin, TX $45,000.00-$51,000.00 20 hours ago Future Opening: Insurance Account Position - State Farm Agent Team Member
Austin, TX $50,000.00-$100,000.00 1 month ago Entry level to insurance agency owner remote (Kyle, TX)
Kyle, TX $75,000.00-$200,000.00 2 months ago Insurance Agent (Base salary + Uncapped commissions)
Austin, TX $65,000.00-$85,000.00 2 weeks ago Insurance Staff Position - State Farm Agent Team Member
Insurance Account Position - State Farm Agent Team Member
Austin, TX $40,000.00-$60,000.00 1 year ago Insurance and Financial Services Position - State Farm Agent Team Member
Cedar Park, TX $40,000.00-$80,000.00 1 year ago Pflugerville, TX $50,000.00-$70,000.00 2 years ago Licensed Healthcare Insurance Agent Remote USA
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Austin, TX $50,000.00-$100,000.00 1 week ago Buda, TX $70,000.00-$95,000.00 2 years ago Account Associate - State Farm Agent Team Member
Dripping Springs, TX $40,000.00-$100,000.00 1 year 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