Insurance Follow-Up/Billing Specialist

OneOncology; Hillmont (AL); Presencial; USD 48.000 - 62.000; Jornada completa

Descripción de la vacante

Clearview Cancer Institute in Alabama seeks an Insurance Follow-up and Billing Specialist to ensure efficient payment handling within a busy outpatient oncology setting. You will post insurance payments, follow up on claims, and work with payers to resolve denials and payment issues.

A strong math and communication background, plus experience with CPT/ICD-10 terms, is essential. The role requires at least 3 years of medical billing experience, a high school diploma, and proficiency with billing

Formación

• Must have excellent interpersonal and customer service skills.
• Must be detail-oriented and have strong problem-solving abilities.
• Thorough knowledge of patient billing, claims submission, and payer requirements.

Responsabilidades

• Post insurance payments and perform follow-up tasks.
• Process billing office reports and submit/correct claims in multiple systems.
• Collaborate with payers to resolve issues and facilitate prompt payment.
• Identify and resolve any denial or processing errors.
• Track outstanding issues preventing claim resolution.
• Perform other duties as assigned.

Conocimientos

Interpersonal skills

Detail-oriented

Problem-solving

Strong math skills

Verbal and written communication

Computer proficiency

Educación

High school diploma or equivalent

Herramientas

Billing software

EHR/EMR systems

Descripción del empleo

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.Job Description:Job PurposeThe purpose of the Insurance Follow-up and Billing Specialist is to ensure that issues related to payment are handled in an efficient and effective manner.Essential Job FunctionResponsible for Insurance Payment Posting and Follow-UpProcessing billing office reports.Work with payers to resolve issues and facilitate prompt payment of claims.Resolve insurance processing errors and denials.Identifying and resolving any and all outstanding issues preventing claim resolution.Working numerous systems in submitting and correcting claims.Other duties assigned.QualificationsMust have excellent interpersonal and customer service skills.Must be detail-oriented.Must have strong problem-solving and research skills.Must have excellent math, verbal, and communication skills.Must be proficient in various computer software.Must have thorough knowledge and understanding of patient billing, claims submission, and payer specific requirements.Knowledge of payers including Medicare, Medicaid, Blue Cross, and other commerical health insurance carriers.Education/ExperienceMust have a high school diploma or equivalent.Must have at least 3 years collection experience in a medical practice or facility with a proven track record of success in billing, reimbursement, and follow-up.Comprehensive knowledge of insurance plans, member eligibility, and medical billing.Must have strong background in Medicare and Medicaid claims processing and reimbursement.Must have understanding of CPT, ICD-10, UB, HCFA, and 835 terminologies.Working conditionsThis position works in the business office of a busy outpatient oncology/hematology clinic. This position does not have direct patient contact.Physical requirementsThis position requires that the employee be able to work at a desk and on a computer for up to eight hours a day. Employee must be able to do work via telephone for several hours a day as well.Direct reportsThis position is not a supervisory position.