13 дней назад
Insurance AR Specialist (Medical Billing)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Insurance AR Specialist (Medical Billing): Managing insurance accounts receivable, claim follow-up, EOB review, and collections for oncology, radiation therapy, proton therapy, and radiology services with an accent on reimbursement regulations, payer requirements, and accurate account documentation. Focus on researching unresolved balances, re-filing claims, resolving collection issues, and coordinating with patients, physicians, insurance carriers, and internal departments.
Location: United States; remote role
Company
supports community oncologists through a patient-centric, physician-driven, and technology-powered healthcare model.
What you will do
- Manage assigned insurance accounts receivable, especially accounts aged 60 days or more.
- Review EOBs within a two-week turnaround and document collection activity accurately.
- Follow up with insurance carriers, research outstanding balances, and re-file claims when necessary.
- Contact and counsel patients regarding self-pay balances and respond to inquiries by phone and mail.
- Prepare adjustment forms, collection logs, daily reports, and supporting documentation.
- Coordinate with supervisors and other departments to resolve account issues and identify process improvements.
Requirements
- High school diploma or equivalent required; bachelor’s degree preferred.
- At least three years of medical collections experience required, preferably in an oncology healthcare setting.
- Detailed knowledge of billing, HCPCS, CPT, and ICD codes.
- Expertise in medical insurance policies and reimbursement regulations, including Medicare and Medicaid.
- Strong analytical, organizational, multitasking, negotiation, problem-solving, communication, and customer service skills.
- Proficiency with Microsoft Word, Excel, Outlook, databases, patient billing systems, and other medical information systems.
Nice to have
- Radiation oncology or proton therapy experience.
- Previous commercial collections experience.
- Experience with oncology-specific carrier requirements.
Culture & Benefits
- Values-driven environment focused on improving care for people living with cancer and other diseases.
- Startup-oriented culture supported by leaders in oncology, urology, technology, and finance.
- Remote work arrangement for a full-time position.
- Professionalism, adaptability, initiative, mature judgment, and attendance are expected.
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