Accounts Receivable Specialist

Onco360; Louisville (KY); Sur place; USD 25 000 - 36 000; Plein temps

Avantages offerts par ce poste

Medical

Dental

Vision

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Company paid life insurance

Short and long-term disability

Résumé du poste

Onco360 is seeking an Accounts Receivable Specialist in Louisville, KY. The role focuses on managing end-to-end AR tasks within a cancer care and rare diseases environment.

The position requires 2–3 years of healthcare AR experience, knowledge of Medicare/ Medicaid billing, and a strong understanding of NDC billing. Competitive hourly pay and comprehensive benefits are provided.

Qualifications

• Required: 2-3 years Healthcare Accounts Receivable
• Desired: Certified Pharmacy Technician, Associate or Bachelor's Degree
• Demonstrated knowledge of healthcare billing processes and payer policies
• Ability to interpret Rx Pharmacy and Medical claims and remittance advices

Responsabilités

• Work with insurance companies, providers, and patients to process and pay claims
• Interpret HCPCS, ICD-10, and Medication NDC in relation to billing
• Handle electronic claim adjudication and rejections; update and correct claims
• Understand Medicare and Medicaid pharmacy reimbursement guidelines
• Monitor remittance and denials; coordinate with cash team for postings
• Review A/R dashboard to identify aged claims and follow up
• Assist patients with billing inquiries and copay structures
• Perform duties as assigned by management and leadership
• Maintain professionalism and comply with company policies and ethics
• Capable of leading and supervising others when needed

Connaissances

NDC Billing

PBM Contracts

Medicare COB

Healthcare Audit

Formation

HS Diploma/GED

CPhT Certification

Associate/Bachelor Degree

Description du poste

Onco 360 is aware that scammers are posing as representatives of our company and recruiting team. These individuals may contact you with fraudulent interview invitations or job offers in an attempt to obtain personal or financial information. Communication will only come from our official company email domain (@Onco360.com). Please be vigilant and keep the following security guidelines in mind:

• We do not conduct interviews exclusively via text message or email.
• We will never charge hiring-related fees such as applications, training, equipment, or background checks.
• We will never text or email you to ask for bank account information, social security number, identification documents, or payment details before you sign a verified offer.

All candidates will speak with an Onco360 recruiter before receiving a job offer. If you receive a suspicious outreach or interview invitation, do not share personal information or click on any unknown links. If you believe you have been contacted by a scammer impersonating our organization, please contact us directly through our official website.

Position: Accounts Receivable Specialist

Location: Louisville, KY

Accounts Receivable Specialist
Onco360 - Louisville, KY
Our Onco360 Corporate Office in Louisville, Kentucky has an immediate need for anAccounts Receivable Specialist.

Starting salary at $22 an hour, depending on experience.

9:00am-5:30pm EST Monday through Friday.

A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion.

We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth.

Benefits

• Medical
• Dental
• Vision
• 401k with a match
• Paid Time Off and Paid Holidays
• Tuition Reimbursement
• Company paid benefits – life insurance
• short and long-term disability

Summary

The Accounts Receivable Specialist will participate in the daily operational functions related to the management and collection of company-wide Accounts Receivable.

Major Responsibilities

• Work directly with the insurance company, healthcare provider, and patient to get claims processed and paid appropriately; including Redetermination, and Appeals process.
• Be familiar with and be able to interpret both Rx Pharmacy and Medical claims and Remittance Advices. Understanding of HCPC, ICD-10, and/or Medication NDC in conjunction with claim billing activity.
• Have a working knowledge of electronic claim adjudication, familiar with NDPDP D.0 standard and rejections. Able to complete claim updates and corrections as needed.
• Well versed on Medicare and Medicaid pharmacy program and reimbursement guidelines.
• Monitoring electronic remittance and manual payments/denials to ensure proper payment posting and reflection of receivables. Coordinate with cash team to ensure pending payment postings are accounted for properly and resolved timely.
• Monitor A/R Dashboard and system A/R Manager to determine aged accounts that require follow up and prioritize the activities with the staff. Exhibit excellent time management skills in monitoring and following up on assigned aged claims.
• Serve as a resource for Patients on all Billing and Accounts Receivable inquiries, including but not limited to understanding of copay structure, accepting patient payments, and the like.
• Perform other tasks as assigned by Manager, Director and/or Executive leadership.
• Exhibit a positive, courteous, respectful, and helpful attitude towards patients, team members, payers, and management.
• Work within specified deadlines and open to overtime when necessary to meet department goals and objectives.
• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
• Ability to demonstrate leadership and constructively work with and supervise others

Qualifications

Education/Learning Experience:

• Required: High School Diploma or GED
• Desired: Certified Pharmacy Technician, Associates or Bachelor's Degree

Work Experience:

• Required: 2-3 years Healthcare Accounts Receivable

Skills/Knowledge:

• Required: NDC Medication Billing, PBM and Medical Contract, Medicare programs and Coordination of Benefits, Healthcare Audit Experience

Licenses/Certifications:

• Desired: National of State Pharmacy Tech Certification
• Required: Deadline Oriented, Time Management, Prioritization Skills, Independent worker