Accounts Receivable Insurance Specialist

Cancer Center of South Florida; West Palm Beach (FL); On-site; USD 42,000 - 65,000; Full time

Job summary

Cancer Center of South Florida is seeking an Accounts Receivable Insurance Specialist in Florida to manage insurance follow-up and account resolution, ensuring timely reimbursement. You will analyze denials, research discrepancies, and respond to patient inquiries with a focus on service and communication.

Requires 3–5 years of medical AR experience, oncology billing preferred, and proficiency with EPIC or similar systems. Strong knowledge of ICD-10/CPT and payer guidelines is essential.

Qualifications

• Proficient in medical billing and insurance reimbursement processes.
• Thorough understanding of ICD-10 and CPT, with HCPCS/modifiers knowledge preferred.
• Experience using Epic or similar revenue cycle software.

Responsibilities

• Manage AR for assigned payors, analyze denials, and correct billing issues.
• Perform follow-up with insurers and address overdue claims.
• Review EOBs for accurate payments and report discrepancies.
• Document collection efforts in the EMR with standard notes.
• Assist patients with billing inquiries and payment plans.

Skills

Medical billing proficiency

ICD-10/CPT knowledge

Epic software experience

Education

High school diploma or equivalent

Associate degree in health sciences preferred

Tools

Epic or similar system

Job description

POSITION SUMMARY

The Accounts Receivable Insurance Specialist handles insurance follow-up and account resolution for assigned payors to ensure timely reimbursement. Responsibilities include resolving billing issues, researching discrepancies, and addressing patient inquiries with a focus on service and communication. This role requires expertise in the revenue cycle, medical billing, and oncology-specific reimbursement guidelines.

Description

The Accounts Receivable Insurance Specialist handles insurance follow-up and account resolution for assigned payors to ensure timely reimbursement. Responsibilities include resolving billing issues, researching discrepancies, and addressing patient inquiries with a focus on service and communication. This role requires expertise in the revenue cycle, medical billing, and oncology-specific reimbursement guidelines.

Core Essential Responsibilities

• Manage accounts receivable for assigned payors by analyzing and resolving denials, appealing rejected claims, and correcting billing discrepancies to ensure timely reimbursement.
• Conduct consistent follow-up with insurance companies and address overdue claims across commercial and government payors.
• Review EOBs to confirm accurate payments and report discrepancies or trends to leadership.
• Maintain detailed documentation of collection efforts and resolution activities in EPIC using standard note format.
• Handle patient billing inquiries, negotiate payment plans, and respond promptly to calls or correspondence.
• Monitor and report credit balances; initiate appropriate refunds and write-offs with supporting documentation.
• Collaborate with internal teams to communicate billing issues, share updates, and support resolution.
• Verify patient insurance eligibility and benefits; understand payer-specific processes, including copays, deductibles, and coinsurance.
• Stay current on oncology coding standards (HCPCS/ICD-10/CPT) and participate in training and compliance initiatives.
• Support other revenue cycle functions as needed and perform additional duties as assigned.

EDUCATION & EXPERIENCE

• High school diploma or equivalent required; associate degree in health sciences preferred.
• Minimum 3–5 years of experience in medical accounts receivable, with oncology/hematology billing preferred.
• At least 5 years’ experience in private practice accounts receivable.

Knowledge, Skills Or Abilities

• Proficient in medical billing and insurance reimbursement processes, including denial resolution and payer-specific guidelines.
• Thorough understanding of ICD-10, CPT required and working knowledge of HCPCS and modifiers specific to hematology/oncology treatments preferred.
• Proficient in using Epic or similar programs.