Patient Account Specialist

US Oncology Network-wide Career Opportunities; Spokane Valley (WA); On-site; USD 67,193,817 - 97,423,872; Full time

Job summary

Cancer Care Northwest seeks a dedicated Billing Specialist to manage patient accounts, resolve billing issues, and coordinate with insurers to ensure timely payments. The role emphasizes accurate account auditing, payment arrangements, and confidential handling of financial information.

Ideal candidates have strong insurance processing experience and an eye for detail, with a commitment to compliant, compassionate patient service in a busy medical office setting.

Qualifications

• High School Diploma or GED required.
• 3 years of experience in a medical business office with insurance processing and balancing responsibilities.

Responsibilities

• Audit patient accounts to ensure accuracy and timely payment.
• Review account aging and correct inconsistencies.
• Contact patients regarding delinquent accounts and arrange payment plans.
• Follow up on insurance billing for timely receipt of payments and handle sensitive financial inquiries.
• Handle patient billing complaints, process adjustments, and pursue refunds as needed.
• Prepare write-off requests with proper documentation and escalate to supervisor.
• Coordinate with insurance companies and respond promptly to information requests.
• Identify account problems and drive toward resolution.
• Monitor refund accounts and ensure proper recipients for refunds.
• Maintain confidentiality of patient account information and perform other duties as assigned.

Skills

Billing experience

Insurance processing

Accounts receivable

Education

High School Diploma or GED

Tools

None

Job description

Overview

Join a Legacy of Care - Delivering over 50 years of Healing and Hope

For over five decades Cancer Care Northwest has been the Inland Northwest's premier cancer center, providing an integrated approach to the diagnosis, treatment and healing of cancer and blood-related diseases.

Our collective passion to fight against cancer is what motivates and inspires us every day and is the reason Cancer Care Northwest has become the Inland Northwest's premier cancer center. We provide comprehensive, innovative, compassionate, integrated care throughout each patient's journey. We are searching for dedicated professionals who share our passion in saving lives. Are you searching for better work-life balance? Join us in our mission to save lives.

Position Overview

This position is responsible for account following up on 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 Cancer Care Northwest Compliance Program, to include the Code of Ethics and Business Standards.

Responsibilities

• Perform audits of patient accounts to ensure accuracy and timely payment.
• Reviews account aging monthly and reports inconsistencies and corrects errors as
• Contacts patients regarding delinquent accounts and arrange mutually acceptable payment
• Follow 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
• 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 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. Participate in maintaining Payor Manuals/Profiles.
• Works closely with collection agency to assure that they receive updated information on accounts as
• 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 aging and follows up appropriately. Maintains confidentiality regarding patient account status and the financial affairs of clinic/corporation. Performs all other duties/responsibilities as necessary or assigned.

Qualifications

Minimum Qualifications:

• High School Diploma or a General Education Degree
• Three (3) years' experience in a medical business office setting with insurance processing and balancing responsibilities

Physical Demands:

• Regularly: sit, grasp, reach, talk and hear
• Occasionally: stand, bend, stoop/crouch, walk, lift up to 30 pounds, pull/push up to 30 pounds, and carry up to 30 pounds
• Vision: clearly see up to 5 feet with or without corrective lenses

Work Environment: While performing the essential duties/responsibilities of this job, the employee will not be exposed to any workplace environmental conditions caused by extreme noise, heat, cold, workplace hazards, atmospheric dust/fumes/vapors/mists, pathogens, or toxic chemicals.

Salary DOE - $23.45-$34.00

Benefit Information https://careers.usoncology.com/benefits