1 час назад
Billing & Insurance AR Specialist
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Billing & Insurance AR Specialist (Medical Billing/Oncology): Managing insurance accounts receivable, claim corrections, payer follow-up, and patient collections with an accent on oncology billing, reimbursement regulations, and clean claim submission. Focus on reviewing aging accounts, resolving claim and payment issues, applying HCPCS/CPT/ICD coding knowledge, and coordinating timely reimbursement with patients, physicians, and insurers.
Location: United States; remote
Company
supports community oncologists through a patient-centric, physician-driven, and technology-powered healthcare model.
What you will do
- Manage assigned accounts receivable aged 45 days or more and review EOBs within a two-week turnaround.
- Follow up with insurance carriers, research outstanding balances, resolve payment issues, and re-file claims when needed.
- Review claim edit failures and correct billing for clean claim submissions.
- Contact and counsel patients regarding outstanding self-pay balances and respond to billing inquiries.
- Document collection activity, prepare reports and write-off adjustment forms, and escalate unusual accounts.
- Collaborate with the revenue cycle management team to support accurate claims and timely payment.
Requirements
- Minimum 3 years of medical collections experience required.
- High school diploma or equivalent required; a bachelor's degree is preferred.
- Expertise in medical billing, insurance policies, reimbursement regulations, Medicare, and Medicaid.
- Detailed knowledge of HCPCS, CPT, and ICD codes, as well as carrier-specific requirements.
- Strong communication, customer service, analytical, organizational, multitasking, negotiation, and problem-solving skills.
- Proficiency with Microsoft Word, Excel, Outlook, patient billing systems, databases, and other medical information systems.
Nice to have
- Experience in an oncology healthcare setting.
- Radiation oncology or proton experience.
- Commercial collections experience.
Culture & Benefits
- Remote work arrangement in the United States.
- Values-driven culture focused on improving care for people living with cancer and other diseases.
- Opportunity to work with physicians, patients, insurance companies, and revenue cycle management professionals.
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