Insurance Benefits Specialist - Patient Access

OneOncology, LLC; Hillmont (AL); On-site; USD 45,000 - 55,000; Full time

Job summary

Clearview Cancer Institute is seeking an Insurance Benefits Representative to verify patient insurance eligibility, benefits, and manage referrals on a monthly basis. The role involves resolving authorization, billing, and claims issues while explaining coverage to patients.

Candidates should be proficient in Excel, understand managed care, and work effectively in a fast-paced clinical office setting with HIPAA compliance. This position emphasizes team collaboration and accurate documentation.

Qualifications

• Must have a high school diploma or equivalent.
• Must have at least 2 years of experience in medical billing.
• Must be able to verify eligibility and benefits and manage coordination of benefits.

Responsibilities

• Monthly verification of all insurance including managed care policies.
• Notify other departments of uninsured or under-insured patients.
• Resolve issues such as authorization for services, billing, and claims payments.
• Explain insurance benefits and coverage to patients.
• Handle referrals and other duties as assigned.

Skills

HIPAA compliance

Verbal & written communication

Multitasking

Time management

Team oriented

Eligibility verification

Benefits coordination

Customer service

Education

High school diploma or equivalent

Tools

Excel

Job description

Clearview Cancer Institute is seeking an Insurance Benefits Representative to verify patient insurance eligibility, benefits, and manage referrals on a monthly basis. The role involves resolving authorization, billing, and claims issues while explaining coverage to patients.

Candidates should be proficient in Excel, understand managed care, and work effectively in a fast-paced clinical office setting with HIPAA compliance. This position emphasizes team collaboration and accurate documentation.