Insurance AR Specialist

Responsibilities:  

• Works and/or maintains every account in the assigned AR in the 60+ day categories. Reviews EOBs within a two-week turnaround.  

• Documents accurate collection activity in the collection tracking notes. 

• Evaluates status of accounts and prioritizes collection action (letters, phone calls, staff assistance).  

• Calls on outstanding balances due from carriers in a timely manner. 

• Telephone, interview, and counsel patients on outstanding self-pay balances.  

• Responds to incoming telephone or mail inquiries in a prompt, timely manner.  

• Completes write-off adjustment forms for accounts needing necessary adjustments and turns in to supervisor with appropriate documentation attached.  

• Maintains collection logs for distribution to other teams for use in identifying areas needing attention/correction.  

• Advises supervisor of any unusual collection accounts as they become delinquent or are in question.  

• Prepares daily user reports for supervisor review and filing along with appropriate notes/documentation.  

• Works with other departments to gather necessary information for proper account work/collection activity.  

• Maintains a complete understanding of HCPCS/ICD/CPT oncology coding and specific carrier requirements/knowledge. 

• Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer. 

Required Qualifications:   

• High school diploma or equivalent required 

• Bachelor’s degree preferred 

• Minimum of 3 years of experience in medical collections required, preferably in an Oncology healthcare setting 

• Radiation Oncology/Proton experience a plus 

• Expertise in insurance policies and regulations related to medical billing, including Medicare and Medicaid 

Essential Competencies: 

• Attendance is an essential job function. 

• Detailed knowledge of billing, HCPCS, CPT and ICD codes  

• Previous commercial collections experience preferred  

• Ability to work effectively with all levels of management and other colleagues, demonstrating initiative, mature judgment and customer service orientation.  

• Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations. 

• Exceptional Multi-tasking, organizational skills and superb attention to detail.  

• Strong analytical skills 

• Skill in negotiating issues and resolving problems.  

• Excellent customer service skills. 

• Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), database and patient billing and other medical information systems. 

• Ability to operate various types of office equipment. 

• Must possess high degree of professionalism and adaptability.