Revenue Cycle Specialist
US Oncology, Inc.
 Norfolk, VA

Position Summary

The US Oncology Network is looking for an upbeat and ambitious Revenue Cycle Insurance Specialist who will be supporting the needs of the AR department located at our Regional Business Office in the Greater Norfolk/Virginia Beach area. US Oncology is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer!

About US Oncology

The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology and quality of care. For more information, visit www.usoncology.com.

We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability and Wellness & Perks Programs.

SCOPE

  • With minimal supervision, is responsible for payer and patient account balances being paid timely and remaining current.
  • Performs collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering routine to complex account inquiries.
  • Performs responsibilities within standard procedures and pre-established guidelines to complete tasks.
  • Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Monitors delinquent accounts and performs collection duties
  • Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, and 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, verifies patient demographics and insurance providers, updates information in systems, and documents conversations
  • Contacts third party payers to resolve payer issues, expedite claim processing, and maximize medical claim reimbursement
  • Performs other duties as requested or assigned

MINIMUM QUALIFICATIONS

  • High School diploma or equivalent required. Associates degree preferred.
  • Minimum two years insurance resolution experience resolving issues with patients and payers as well as four years combined medical billing and payment experience required.
  • Microsoft Office experience required (Word and Excel).
  • Demonstrate knowledge of oncology medical coding preferred.
  • Demonstrate knowledge of state, federal, and third party claims processing required.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. The position requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. The position requires standing and walking for extensive periods of time. The employee occasionally lifts and carries items weighing up to 40 lbs. The position requires corrected vision and hearing to normal range.

WORK ENVIRONMENT

The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.

category: administrative

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.