Hybrid Remote Insurance Eligibility Specialist I

The US Oncology Network; Richardson (TX); Hybrid; USD 42,000 - 66,000; Full time

Job summary

The US Oncology Network is hiring an Insurance Specialist I at Texas Oncology for a full-time hybrid remote role serving the Central Business Office. The position varies by level (1, 2, or Sr) depending on experience and location within commutable distance to the office.

You will handle eligibility, referrals, and patient billing support, with HIPAA compliance emphasized. Ideal candidates have a high school diploma, proficiency with MS Word/Excel, and relevant front desk or healthcare benefits

Qualifications

• Entry level position with zero to two years at front desk, registrations, healthcare benefits or equivalent experience.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.
• Level 2 adds three years with front desk, registrations, healthcare benefits or equivalent experience and an Associates degree preferred.
• Level Sr adds four years with front desk, registrations, healthcare benefits or equivalent experience and an Associates degree preferred.

Responsibilities

• Researches and obtain accurate and current insurance coverage information; makes corrections in the PMS.
• May evaluate benefits and eligibility to assess patient financial responsibility.
• May coordinate referrals and retro-authorizations to secure authorizations and entries in the PMS.
• Identifies uninsured patients and refers to patient benefit representative for coordination of payment.
• Communicates system issues and/or payor trends to lead or supervisor.
• May answer questions and resolve complaints.
• Documents conversations with payors in the PMS.
• Contacts and follows up with clinic or any missing or incomplete documentation.
• Works TES Edits.
• Researches and responds to routine account inquiries and takes action; escalates non-routine issues.
• Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient records and collections.
• Other duties as requested or assigned.

Skills

Customer service

Education

High school diploma or equivalent

Associate's degree preferred

Tools

Microsoft Word

Microsoft Excel

Microsoft Office

Job description

The US Oncology Network is hiring an Insurance Specialist I at Texas Oncology for a full-time hybrid remote role serving the Central Business Office. The position varies by level (1, 2, or Sr) depending on experience and location within commutable distance to the office.

You will handle eligibility, referrals, and patient billing support, with HIPAA compliance emphasized. Ideal candidates have a high school diploma, proficiency with MS Word/Excel, and relevant front desk or healthcare benefits