Remote Oncology AR Insurance Specialist (Billing & Denials)

Cancer Center of South Florida PLLC; United States; Remote; USD 52,000 - 76,000; Full time

Job summary

Cancer Center of South Florida PLLC seeks an Accounts Receivable Insurance Specialist to manage payer follow-up and account resolution, ensuring timely reimbursement. You will resolve billing discrepancies, address patient inquiries, and stay current with oncology reimbursement guidelines within a remote work setup.

Requirements include 3–5 years in medical AR (oncology preferred), high school diploma (associate degree preferred), and proficiency with Epic or similar systems.

Qualifications

• Proficient in medical billing and insurance reimbursement processes.
• Understanding of ICD-10, CPT required; HCPCS knowledge preferred.
• Familiarity with Epic or similar EHR systems.

Responsibilities

• Manage accounts receivable for assigned payors by analyzing and resolving denials, appealing rejected claims, and correcting billing discrepancies to ensure timely reimbursement.
• Conduct follow-up with insurance companies and address overdue claims across commercial and government payors.
• Review EOBs to confirm accurate payments and report discrepancies or trends to leadership.
• Maintain detailed documentation of collection efforts and resolution activities in EPIC using standard note format.
• Handle patient billing inquiries, negotiate payment plans, and respond promptly to calls or correspondence.
• Monitor and report credit balances; initiate refunds and write-offs with supporting documentation.
• Collaborate with internal teams to communicate billing issues and support resolution.
• Verify patient insurance eligibility and benefits; understand payer-specific processes, including copays, deductibles, and coinsurance.
• Stay current on oncology coding standards (HCPCS/ICD-10/CPT) and participate in training and compliance initiatives.
• Support other revenue cycle functions as needed and perform additional duties as assigned.

Skills

Medical billing

Insurance follow-up

Denial resolution

Epic

ICD-10/CPT knowledge

Education

High school diploma or equivalent

Associate degree in health sciences (preferred)

Tools

Epic

Job description

Cancer Center of South Florida PLLC seeks an Accounts Receivable Insurance Specialist to manage payer follow-up and account resolution, ensuring timely reimbursement. You will resolve billing discrepancies, address patient inquiries, and stay current with oncology reimbursement guidelines within a remote work setup.

Requirements include 3–5 years in medical AR (oncology preferred), high school diploma (associate degree preferred), and proficiency with Epic or similar systems.