Remote Patient Billing & Collections Specialist

US Oncology Network-wide Career Opportunities; Norfolk (VA); Remote; USD 28,000 - 30,000; Full time

Job summary

US Oncology Network is seeking a Full-Time Billing Specialist to manage account follow-up, resolve billing problems, and answer patient inquiries from a remote work setup. The role focuses on setting up financial arrangements, monitoring aging, and ensuring timely payments while upholding compliance standards and a patient-centered approach.

Minimum three years in medical business office experience with insurance processing is required, with a high school diploma or equivalent.

Qualifications

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

Responsibilities

• Performs audits of patient accounts to ensure accuracy and timely payment.
• Reviews account aging's on a monthly basis and reports inconsistencies and 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 aging's and follows up appropriately. Maintains confidentiality in regard to patient account status and the financial affairs of clinic/corporation.

Skills

Account follow-up

Billing

Insurance processing

Patient inquiries

Education

High school diploma or equivalent

Job description

US Oncology Network is seeking a Full-Time Billing Specialist to manage account follow-up, resolve billing problems, and answer patient inquiries from a remote work setup. The role focuses on setting up financial arrangements, monitoring aging, and ensuring timely payments while upholding compliance standards and a patient-centered approach.

Minimum three years in medical business office experience with insurance processing is required, with a high school diploma or equivalent.