Insurance Eligibility Specialist - Hybrid Remote

Texas Oncology; Richardson (TX); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Texas Oncology is seeking an Insurance Specialist I for our Central Business Office in a full-time hybrid role. The candidate should reside within commuting distance to the Central Business Office in Texas.

The position offers entry-to-senior level pathways depending on experience. Responsibilities include resubmitting invoices, analyzing insurance variances, obtaining referrals and retro-authorizations, and supporting compliance initiatives within US Oncology Network.

Qualifications

• HS diploma or equivalent required.
• 0–2 years front desk/registrations/healthcare benefits experience.
• Proficiency with computer systems and MS Office (Word/Excel) required.

Responsibilities

• Researches and confirms insurance coverage information and updates patient records.
• May evaluate benefits and eligibility to determine patient financial responsibility.
• Coordinate referrals and authorizations and ensure entries in the PMS.
• Identify uninsured patients and refer to benefit coordinator for payment planning.
• Communicate system issues and payor trends to supervisor.
• Respond to routine account inquiries and escalate non-routine issues as needed.
• Document conversations with payors in the PMS.
• Follow up on missing or incomplete documentation with clinics.

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Job description

Texas Oncology is seeking an Insurance Specialist I for our Central Business Office in a full-time hybrid role. The candidate should reside within commuting distance to the Central Business Office in Texas.

The position offers entry-to-senior level pathways depending on experience. Responsibilities include resubmitting invoices, analyzing insurance variances, obtaining referrals and retro-authorizations, and supporting compliance initiatives within US Oncology Network.