Patient Account Specialist

The US Oncology Network; Melbourne (FL); On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability insurance

PTO

401k with match

Wellness program

Tuition Reimbursement

Employee Assistance

Retail discounts

Job summary

Us Oncology Inc is hiring a Patient Account Specialist to manage patient accounts, resolve billing issues, and coordinate with patients and insurers. The role requires strong attention to detail and excellent communication to support a compliant, patient-focused billing process.

Work is performed in an office setting; benefits include medical, dental, vision, life, disability, PTO, 401k with match, wellness program, and more. Prior experience in a medical business office is preferred.

Qualifications

• High school graduate or equivalent required.
• Minimum five years experience in a medical business office setting with insurance processing and balancing responsibilities.

Responsibilities

• Perform audits of patient accounts to ensure accuracy and timely payment.
• Review account aging on a monthly basis and report inconsistencies; correct errors.
• Contact patients regarding delinquent accounts and arrange payment schedules.
• Follow up on insurance billing to ensure timely receipt of payments.
• Handle patient billing questions and adjust as needed; follow up on denials.
• Review EOBs for proper reimbursement and escalate payor trends as needed.
• Maintain confidentiality of patient account status and financial information.

Skills

Accounts receivable

Insurance billing

Customer service

Communication

Education

High school diploma or equivalent

Job description

Overview

The US Oncology Network believes local cancer care is better care and in 2017 Vantage Oncology joined The US Oncology Network. The US Oncology Network empowers the delivery of advanced integrated cancer care through our network of independent physicians who share expertise and resources to provide quality, value-based care close to home. Our clinical and business support capabilities, expertise and industry-leading technologies keep local practices at the forefront of high quality, efficient care delivery while enabling practice success, quality of life and financial security for physicians.

We have an immediate opening for a Patient Account Specialist

Why work for us:

We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.

• Medical
• Dental
• Vision
• Life Insurance
• Short-term and Long-term disability coverage
• a generous PTO program
• a 401k plan that comes with a company match
• a Wellness program that rewards you practicing a healthy lifestyle
• lots of other great perks such as Tuition Reimbursement
• an Employee Assistance program
• discounts on some of your favorite retailers

SCOPE: Under minimal supervision, is responsible for account follow-up for all assigned accounts, resolving billing problems and answering patient inquiries. Sets up financial arrangements as needed. Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Performs audits of patient accounts to ensure accuracy and timely payment.
• Reviews account agings on a monthly basis and reports inconsistencies; corrects errors as appropriate.
• Contacts patients regarding delinquent accounts and arranges mutually acceptable payment schedules.
• Follows up on insurance billing to ensure timely receipt of payments.
• Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.
• Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments.
• Reviews credit balance reports for correct recipient of refund.
• Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks.
• Identifies problems on accounts and follows through to conclusion.
• Responds to insurance companies requests for information in a prompt and professional manner.
• Reviews appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to appropriate court in a timely manner.
• Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts.
• Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.
• Resubmits insurance claims within 72 hours of receipt.
• Participates in maintaining Payor Manuals/Profiles.
• Works closely with collection agency to assure that they receive updated information on accounts as necessary.
• Prepares write-off requests with appropriate documentation and submits to supervisor.
• Processes insurance/patient correspondence, including denial follow-up within 48 hours of receipt. Files all reimbursement correspondence daily.
• Works with provided aging to monitor patient account agings and follows up appropriately.
• Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation.

Qualifications

MINIMUM QUALIFICATIONS:

High school graduate or equivalent required. Minimum five years experience in a medical business office setting with insurance processing and balancing responsibilities.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.

WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.