Texas Oncology
Insurance Specialist II – Texas Oncology
Join to apply for the
Insurance Specialist II
role at
Texas Oncology . This full‑time position will support the
Medical Oncology Department
at our 8501 N. Mopac Suite 310 location in Austin, Texas. Typical work week is Monday through Friday, 8:00 a‑5:00 p.
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, with approximately 530 providers in 280+ sites across Texas. Our mission is still the same today—at
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.
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 account 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.
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 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.
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)
Associate’s 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.
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
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
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. 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 may be 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
Mid‑Senior level
Employment type
Full‑time
Job function
Other
Hospitals and Health Care
#J-18808-Ljbffr
Insurance Specialist II
role at
Texas Oncology . This full‑time position will support the
Medical Oncology Department
at our 8501 N. Mopac Suite 310 location in Austin, Texas. Typical work week is Monday through Friday, 8:00 a‑5:00 p.
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, with approximately 530 providers in 280+ sites across Texas. Our mission is still the same today—at
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.
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 account 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.
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 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.
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)
Associate’s 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.
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
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
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. 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 may be 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
Mid‑Senior level
Employment type
Full‑time
Job function
Other
Hospitals and Health Care
#J-18808-Ljbffr