Insurance Specialist I

US Oncology Inc.; Hackensack (NJ); On-site; USD 26,160 - 40,253; Part time

Job summary

US Oncology Inc. is looking for a detail-oriented Insurance Specialist to assist patients in receiving care through accurate billing and timely payments. This part-time temporary role requires strong knowledge of medical coding and claims processing, along with a high school diploma and at least four years of relevant experience. You will monitor accounts, ensure timely refunds, and verify documentation.

This position is pivotal in maintaining exceptional service while adhering to HIPPA regulations. Join our team in Hackensack!

Qualifications

• Minimum four years of combined medical billing and payment experience required.
• Demonstrate knowledge of state, federal, and third party claims processing.
• Must complete required e-learning courses within 90 days of occupying position.

Responsibilities

• Monitors delinquent accounts and performs collection duties.
• Reviews payment postings for accuracy.
• Contacts patients to secure past due balances.

Skills

Knowledge of medical coding

Experience with billing and payment

Knowledge of claims processing

Knowledge of collections 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