Oncology Medical Billing Insurance Specialist

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

Benefits offered by this job

Health, dental, vision plans

401(k) retirement plan

Paid Time Off and holidays

Job summary

Regional Cancer Care Associates (RCCA) in Hackensack, NJ, is seeking an Insurance Specialist to support accurate billing, timely payments, and exceptional service. This full-time role offers comprehensive benefits and a salary in the stated hourly range.

Responsibilities include delinquent account monitoring, claim resolution, and interaction with patients, providers, and payors. Strong medical billing background and knowledge of HIPAA are essential.

Qualifications

• Minimum four (4) 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 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.

Skills

Billing & Collections

Medical terminology

Customer service

Attention to detail

Education

High School diploma or equivalent

Medical Billing Certification

Tools

Medical billing software

HIPAA compliance familiarity

Job description

Regional Cancer Care Associates (RCCA) in Hackensack, NJ, is seeking an Insurance Specialist to support accurate billing, timely payments, and exceptional service. This full-time role offers comprehensive benefits and a salary in the stated hourly range.

Responsibilities include delinquent account monitoring, claim resolution, and interaction with patients, providers, and payors. Strong medical billing background and knowledge of HIPAA are essential.