Insurance Specialist - Business Office

US Oncology, Inc. Henderson , NV 89044

Posted 2 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

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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.

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