Insurance Specialist - Business Office

US Oncology, Inc. Henderson , NV 89044

Posted 4 months ago

Position SummaryCompany Overview:

At Comprehensive Cancer Centers of Nevada (CCCN) a distinguished team of doctors, researchers, nurses and healthcare professionals have provided patients with groundbreaking treatments on the healing edge of medicine since 1974. Our team is dedicated to providing the most effective treatments, both existing and emerging, in order to diagnose and successfully treat cancer and blood disorders. We support this goal with state-of-the-art facilities across Southern Nevada, all of which integrate the latest diagnostic, therapeutic and research capabilities. CCCN is dedicated to patient-centered care, advancing innovation, discovery, and improving outcomes. Motivated, caring professional are encouraged to join us.

Career Opportunity:

Comprehensive Cancer Centers of Nevada is seeking an Insurance Specialist at the Business Office located in Henderson, Nevada. The Insurance Specialist is responsible for payer and patient account balances being paid timely and remaining current.

The essential functions for the Insurance Specialist include the following:

  • Monitors delinquent accounts and performs collection duties.

  • Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, resubmits claim to payer.

  • Reviews payment postings for accuracy and to ensure account balances are current. Works with co-workers to resolve payment and billing errors.

  • Monitors and updates delinquent accounts status. Recommends accounts for collection or write-off.

  • Contacts patients to secure past due balances, verify patient demographics and insurance providers, updates information in systems, and documents conversations.

  • Answers patients payment, billing, and insurance questions and resolves complaints.

  • May refers patients to Patient Benefits Representative to set-up payment plans.

  • Contacts third party payers to resolve payer issues, expedite claim processing, and maximize medical claim reimbursement.

  • Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations.

  • Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patients records.

The ideal candidate will have the following background and experience:

  • High school graduate or equivalent required.

  • Minimum four (4) years combined medical billing and payment experience required.

  • Proficiency with computer systems and Microsoft Office (Word and Excel) required.

  • Demonstrate knowledge of medical coding, preferably oncology coding.

  • Demonstrate knowledge of state, federal, and third party claims processing required.

  • Demonstrate knowledge of state & federal collections guidelines.

Successful candidates will thrive in a fast paced, rapidly changing environment and have a passion for working with and providing assistance to patients.

Ready For Your Next Career Challenge? We'd Love to Hear from You!

If you possess the above qualifications and a desire to make a difference, we invite you to submit your resume and apply. In addition to a great career opportunity, we offer excellent benefits, a team environment, professional development, and the chance to be part of a nationwide network dedicated to fight the war against cancer. To apply please click on the Apply Now button.

Category: Administrative

  • M

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

","title":"Insurance Specialist - Business Office

upload resume icon
See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Assistant Chief Insurance Examiner

State Of Nevada

Posted 3 days ago

VIEW JOBS 1/13/2019 12:00:00 AM 2019-04-13T00:00 The Position Employment Security Division Appeals Referees conduct fair and impartial quasi-judicial hearings and make decisions related to unemployment insurance benefits, experience rating rulings and employer tax liability cases. Incumbents function as managers who train, supervise and evaluate the performance of subordinate supervisors; develop policies and procedures; and allocate staff and resources to accomplish goals and objectives. This position develops and implements statewide procedures to provide timely due process at both the initial and final administrative hearing levels for unemployment insurance benefits, experience rating rulings and employer tax liability cases, Trade Readjustment Act, and other programs. This position is also responsible for analyzing and evaluating the impact of mandated program changes and making recommendations for implementation; facilitating implementation of new programs and services in appeals offices; allocatingstaffing resources, training and capital to provide optimal service throughout the State; publishing directives regarding program goals and objectives, minimum work standards and work processes to ensure compliance with laws, regulations and requirements. The Chief ESD Appeals Referee will supervise subordinate supervisors and appeals referees; identify parameters under which offices function and optimum methods of operation; conduct staff meetings to share information and ensure appropriate methods for resolving problems; review operational status of the appeals program in each office, identify performance deficiencies, and ensure compliance with policies, directives and procedures; review second level of testimony and prepare a digest of testimony; answer correspondence; advise Board of Review on law, precedent and policy applicable to appeals being heard; compose written Boarddecisions and opinions from notations of Board action. This position is located within the Department of Employment, Training and Rehabilitation Appeals Office in Las Vegas, NV. To see full Class Specifications visit: To Qualify: In order to be qualified, you must meet the following requirements: Education and Experience (Minimum Qualifications) Bachelor's degree from an accredited college or university in public or business administration, social science, English or related field and four years of experience which included managing diverse programs and functions of an office; supervising subordinate managers, supervisors or professional staff providing a variety of unemployment insurance services or similar program of benefit service delivery; interpreting and applying complex rules, regulations, policies and procedures; analyzing complex information, problems, situations, practices and procedures and identify relevant concerns, factors, tendencies and relationships; preparing comprehensive management reports and recommendations; monitoring critical office functions; evaluating and revising policies and procedures; establishing staffing patterns and priorities; developing and implementing new services and procedures; and establishing and maintaining working relationships with agency management, government officials and professionals in the community; OR an equivalent combination of education and experience as described above. Special Notes Current certification as a paralegal or graduation from an accredited school of law may be substituted for one year of the required experience. Special Requirements A pre-employment criminal history check and fingerprinting are required. Persons offered employment in this position will be required to pay for fingerprinting. State Of Nevada Henderson NV

Insurance Specialist - Business Office

US Oncology, Inc.