The Insurance Specialist at Texas Oncology supports the Richardson, TX location with a Monday through Friday schedule from 8:30 a.m. to 5:00 p.m.
This role focuses on patient account support, insurance/payment issue resolution, collections, payment posting review, and credit balance management within an oncology practice environment.
Key responsibilities
- Monitor delinquent accounts and perform collection duties
- Review reports, research issues, and resolve account discrepancies
- Review payment postings for accuracy and ensure balances remain current
- Work with coworkers to resolve insurance payment and billing errors
- Update delinquent account status and recommend accounts for collection or write-off
- Contact patients regarding past due balances, demographics, and insurance information
- Answer patient questions about payments, billing, and insurance
- Refer patients to a Patient Benefits Representative for payment plan setup when needed
- Maintain patient and payer credit balances and process refunds within regulatory guidelines
- Follow confidentiality, HIPAA, state, and federal guidelines
Requirements & Qualifications
Required qualifications
- High school diploma or equivalent
- At least 2 years of combined medical billing and payment experience
- Knowledge of state, federal, and third-party claims processing
- Knowledge of state and federal collections guidelines
- Completion of required e-learning courses within 90 days of hire
Additional qualifications by level
Level 2
- At least 4 years of combined medical billing and payment experience
- Knowledge of medical coding, preferably oncology coding
Senior level
- Associate degree in Finance or Business, or four years of revenue cycle experience preferred
- At least 2 years of insurance resolution experience with patients and payers
- At least 4 years of combined medical billing and payment experience
- Proficiency with Microsoft Office, especially Word and Excel
- Knowledge of oncology medical coding
- Knowledge of state, federal, and third-party claims processing
Location
Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago