Insurance Verification Specialist

Our client is looking for an Insurance Verification Specialist to join the team.

:Job Description: Under general supervision, the contractor 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. 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 coworkers to resolve insurance payment and billing errors. Monitors and updates delinquent accounts status. Recommends accounts for collection and 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 payers 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: 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 and federal collections guidelines. Must successfully complete required learning courses within 90 days of occupying position.
COMPETENCIES: Uses Technical and Functional Exp. Possesses up to date knowledge of the profession and industry. 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 Judgement Makes timely, cost effective, and sound decisions Makes decisions under conditions of uncertainty Shows Works 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 Dress Codes: Business Casual

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Reference number US_EN_1_115854_12143978