Oncology Insurance Collections Specialist

NAVISTA; United States; Remote; USD 22,000 - 35,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off (PTO)

Health Savings Account (HSA)

401k savings plan

Early wage access with myFlexPay

Flexible spending accounts (FSAs)

Short- and long-term disability

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Job summary

Navista is seeking a Coordinator, Collections, Insurance Accounts Receivable Specialist to manage insurance claim follow-ups for oncology services, resolve denials, and improve cash flow. You will work with payers, providers, and billing staff to ensure timely reimbursement and adherence to HIPAA regulations.

The role emphasizes QA, productivity, and accuracy with opportunities to support special projects and audits within a growing healthcare network.

Qualifications

• 1–3 years of experience preferred.
• High School Diploma, GED or equivalent work experience preferred.
• Strong knowledge of medical insurance claim processing and denial management preferred.
• Familiarity with Medicare, Medicaid, IPAs, commercial insurance plans, and managed care preferred.
• Proficiency in billing software and MS Office; PowerBI and Copilot experience desired.
• Excellent verbal and written communication skills.

Responsibilities

• Review aging reports and work insurance accounts to ensure timely resolution and reimbursement.
• Contact insurance companies via phone, portals, or email to check claim status or request reprocessing.
• Analyze denials and underpayments to determine appropriate action (appeals, corrections, resubmissions).
• Track and follow up on all submitted appeals until resolution.
• Analyze explanations of benefits (EOBs) and remittance advice to determine denial reasons.
• Document all collection activities in the practice management/billing system.
• Follow up on unpaid claims within payer-specific guidelines and timelines.
• Coordinate with billing team members, coders, and providers to resolve claim discrepancies.
• Maintain up-to-date knowledge of payer policies and reimbursement guidelines.
• Ensure compliance with HIPAA and all relevant billing regulations.
• Flag trends or recurring issues for team leads or supervisors.
• Meet daily/weekly productivity goals.
• Assist with special projects, audits, or other duties.

Skills

Insurance claim processing

Denial management

Communication skills

Analytical skills

Time management

Education

High School Diploma or GED

Tools

Athena

G4 Centricity

Unlimited Financials

PowerBI

Job description

Navista is seeking a Coordinator, Collections, Insurance Accounts Receivable Specialist to manage insurance claim follow-ups for oncology services, resolve denials, and improve cash flow. You will work with payers, providers, and billing staff to ensure timely reimbursement and adherence to HIPAA regulations.

The role emphasizes QA, productivity, and accuracy with opportunities to support special projects and audits within a growing healthcare network.