Insurance Follow-Up- Urology

CCI Clearview Cancer Institute; Huntsville (AL); On-site; USD 42,000 - 62,000; Full time

Job summary

OneOncology, LLC seeks a detail-oriented Insurance Follow-up and Billing Specialist to ensure timely payment processing and effective payer communication in our Huntsville clinic. You will handle insurance posting, follow-up, and denial resolution while navigating multiple billing systems.

The role emphasizes accuracy, problem solving, and strong customer service in a fast-paced oncology setting. Ideal candidates bring 3+ years in medical billing, knowledge of CPT/ICD-10/835, and proficiency

Qualifications

• High school diploma or equivalent.
• At least 3 years of collection experience in a medical practice or facility.
• Thorough knowledge of CPT, ICD-10, UB, HCFA, and 835 terminologies.
• Experience with Medicare and Medicaid claims processing.
• Strong math, verbal and communication skills.
• Proficiency in various computer software.

Responsibilities

• Post insurance payments and follow-up processing, generate billing office reports.
• Collaborate with payers to resolve issues and speed up payments.
• Resolve insurance processing errors and denials.
• Identify and resolve any outstanding issues preventing claim resolution.
• Work across multiple systems to submit and correct claims.
• Perform other duties as assigned.

Skills

Interpersonal skills

Customer service

Detail-oriented

Problem solving

Communication

Computer proficiency

Billing knowledge

Medicare/Medicaid understanding

Education

High school diploma or equivalent

Tools

Medical billing software

Claims submission systems

Job description

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 Purpose

The 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 Function

• Responsible for Insurance Payment Posting and Follow-Up Processing 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.

Qualifications

• Must 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/Experience

• Must 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 conditions

This position works in the business office of a busy outpatient oncology/hematology/radiation/urology clinic. This position does not have direct patient contact.

Physical requirements

This 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 reports

This position is not a supervisory position. We are looking for compassionate, adaptable individuals who demonstrate the desire to lead and work together to best treat the patients we serve.