The US Oncology Network
Overview
SCOPE:
Under direct supervision is responsible for all claim submissions, which includes verifying accuracy of charges and patient demographic information on claim detail. Responsible for timely follow-up with patients and third party payors. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. Essential Duties and Responsibilities
Collects and reviews all patient insurance information needed to complete the billing process. Completes all necessary insurance forms (e.g., HCFA 1500, Blue Cross/Blue Shield, UMWA, Medical Assistance, Medicare) to process the proper billing information in a timely manner as required by all third party payors. Transmits daily all electronic claims to third party payors. Resolves electronic claim delays within 24 hours of exception report print date. Submits all paper claims and supporting documentation as required by payors; files all claims and documentation in patient financial files. Resolves patient complaints and requests regarding insurance billing and initiates accurate account adjustment; follows all billing problems to conclusion. Resubmits insurance claims as required; reports any trends or delays to supervisor. Processes necessary insurance/patient correspondence; mails accurate statements to patients within 24 hours of print date. Provides documentation required to expedite payments (e.g., HCFA1500, demographic, authorization/referrals, UPIN, referring doctors); submits claims within 24 hours of print date. Obtains appropriate medical records with patient or responsible party authorization as relates to billing. Maintains confidentiality of patient account status and financial affairs of clinic/corporation. Communicates effectively with payors and claims clearinghouse to ensure accurate and timely electronically filed claims per department guidelines. Minimum Qualifications
High school graduate or equivalent. Entry-level position requiring 0-3 years experience in a medical business office setting. Physical Demands
Work may require sitting for long periods; occasional lifting up to 30 pounds; manual dexterity to operate keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20; hearing normal for telephone contacts. Prolonged computer use. Reasonable accommodations may be made to enable individuals with disabilities. Work Environment
Office environment with frequent interaction with staff, patients and the public. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Seniority level
Entry level Employment type
Full-time Job function
Accounting/Auditing and Finance Industries
Hospitals and Health Care
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SCOPE:
Under direct supervision is responsible for all claim submissions, which includes verifying accuracy of charges and patient demographic information on claim detail. Responsible for timely follow-up with patients and third party payors. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. Essential Duties and Responsibilities
Collects and reviews all patient insurance information needed to complete the billing process. Completes all necessary insurance forms (e.g., HCFA 1500, Blue Cross/Blue Shield, UMWA, Medical Assistance, Medicare) to process the proper billing information in a timely manner as required by all third party payors. Transmits daily all electronic claims to third party payors. Resolves electronic claim delays within 24 hours of exception report print date. Submits all paper claims and supporting documentation as required by payors; files all claims and documentation in patient financial files. Resolves patient complaints and requests regarding insurance billing and initiates accurate account adjustment; follows all billing problems to conclusion. Resubmits insurance claims as required; reports any trends or delays to supervisor. Processes necessary insurance/patient correspondence; mails accurate statements to patients within 24 hours of print date. Provides documentation required to expedite payments (e.g., HCFA1500, demographic, authorization/referrals, UPIN, referring doctors); submits claims within 24 hours of print date. Obtains appropriate medical records with patient or responsible party authorization as relates to billing. Maintains confidentiality of patient account status and financial affairs of clinic/corporation. Communicates effectively with payors and claims clearinghouse to ensure accurate and timely electronically filed claims per department guidelines. Minimum Qualifications
High school graduate or equivalent. Entry-level position requiring 0-3 years experience in a medical business office setting. Physical Demands
Work may require sitting for long periods; occasional lifting up to 30 pounds; manual dexterity to operate keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20; hearing normal for telephone contacts. Prolonged computer use. Reasonable accommodations may be made to enable individuals with disabilities. Work Environment
Office environment with frequent interaction with staff, patients and the public. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Seniority level
Entry level Employment type
Full-time Job function
Accounting/Auditing and Finance Industries
Hospitals and Health Care
#J-18808-Ljbffr