Insurance Specialist

US Oncology Inc.; Hackensack (NJ); On-site; USD 26,000 - 40,000; Part time

Job summary

Regional Cancer Care Associates (RCCA) in Hackensack, NJ is seeking an Insurance Specialist to support accurate billing, timely payments, and exceptional service in a fast-paced environment.

The position is Temporary Part Time, with compensation between $18.99 and $29.22 per hour. A high school diploma and 4+ years of medical billing experience are required, along with knowledge of oncology coding and payer processing.

Qualifications

• High school diploma or equivalent required.
• Minimum four years combined medical billing and payment experience.
• Knowledge of medical coding, preferably oncology coding.
• Knowledge of state, federal, and third party claims processing.
• Knowledge of state & federal collections guidelines.
• Must complete required e-learning courses within 90 days of occupying position.

Responsibilities

• Monitors delinquent accounts and performs collection duties.
• Reviews reports, identifies denied claims, researches and resolves issues, may resubmit claims to payer.
• Reviews payment postings for accuracy and to ensure account balances are current.
• Works with coworkers to resolve payment and billing errors.
• Monitors and updates delinquent accounts status.
• Recommends accounts for collection or write-off.
• Verifies referrals and authorizations prior to examination date.
• Contacts physicians for missing documentation and follows up with patients for balances.
• Contacts patients to secure past due balances, verify demographics and insurance, and document conversations.
• Answers patient payment, billing, and insurance questions and resolves complaints.
• May refer patients to Patient Benefits Representative to set up payment plans.
• Contacts third party payors to resolve payor issues and maximize reimbursement.
• Maintains credit balances of patients and payors ensuring timely refunds within guidelines.

Education

High School diploma or equivalent

Job description

Overview

Make an impact in patient care—behind the scenes.

Regional Cancer Care Associates (RCCA) is seeking a detail-oriented and motivated Insurance Specialist to join our growing team. In this vital role, you will help ensure patients receive the care they need by supporting accurate billing, timely payments, and exceptional service.

Employment Type: Temporary Part Time

Location: Hackensack, NJ

Compensation: $18.99 - $29.22 hour

Compensation packages based on your unique skills, experience, and qualifications

Responsibilities

• Monitors delinquent accounts and performs collection duties
• Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, and resubmits claim to payer
• Reviews payment postings for accuracy and to ensure account balances are current
• Works with co-workers to resolve payment and billing errors
• Monitors and updates delinquent accounts status
• Recommends accounts for collection or write-off
• Verifies existing patients have necessary referral and/or authorization documentation prior to examination date
• Contacts and follows up with patient’s physician for any missing or incomplete documentation
• Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations
• Answers patient payment, billing, and insurance questions and resolves complaints
• May refer patients to Patient Benefits Representative to set up payment plans
• Contacts third party payors to resolve payor issues, expedite claim processing, and maximize medical claim reimbursement
• Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regard to patient records
• Performs other duties as requested or assigned

Qualifications

• High School diploma or equivalent required
• Minimum four (4) years combined medical billing and payment experience required
• Demonstrate knowledge of medical coding, preferably oncology coding
• Demonstrate knowledge of state, federal, and third party claims processing required
• Demonstrate knowledge of state & federal collections guidelines
• Must successfully complete required e-learning courses within 90 days of occupying position