Sr. Accounts Receivable Representative

OneOncology; Owings Mills (MD); Remote; USD 70,000 - 95,000; Full time

Job summary

OneOncology is seeking a Sr. Accounts Receivable leader to oversee health insurance claim processing and guide a team of AR representatives.

You will resolve complex claim issues and support the revenue cycle for third-party AR, ensuring timely resolutions and high standards of compliance and customer service. Responsibilities include hiring and mentoring staff, improving policies, and staying current with payer websites for claim information.

Qualifications

• Minimum seven (7) years Accounts Receivable follow up experience.
• Certified Coding Certification preferred.
• Familiarity with medical billing software.
• Excellent customer service and communication skills.
• Proficiency with Microsoft Excel and Word; data entry accuracy.

Responsibilities

• Leads a team of Accounts Receivable representatives and develops performance.
• Manage day-to-day problem-solving; be expert on medical claim matters.
• Maintain revenue cycle for third party A/R; assist A/R Manager.
• Suggest revisions to policies to ensure compliance and service.
• Hire, mentor and motivate team; drive productivity and morale.
• Research authorizations, manage pended claims; work with providers.

Skills

Leadership

Customer service

Attention to detail

Communication

Education

High School Diploma or GED

Certified Coding Certification preferred

Tools

Medical billing software

Excel

Word

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.Job Description:Role Summary:The Sr. Accounts Receivable is responsible for the timely and accurate processing of health insurance claims with various insurance companies. This role will also work with Accounts Receivable representatives to help resolve issues while providing leadership and guidance.Responsibilities:Leads a team of Accounts Receivable representatives and proactively assists in the management their performance and development.Manage day-to-day problem-solving while serving as an expert on medical claim matters.Responsible for assisting the A/R Manager with successfully maintaining a properly functioning revenue cycle for third party A/R.Assists in suggesting revisions to policies and procedures to assure that everyone within the department adheres to the high standards of regulatory compliance and excellent customer service.Assists in hiring qualified team members serving as a catalyst and mentor for motivating productivity, innovation, high employee morale and commitment to the organization.Research authorizations, work with providers, and manage pended claims in a timely manner.Maintain a solid balance of health insurance claims that are < 35 average days outstanding.Identify non-payment trends or procedural roadblocks and report same to Supervisor as needed.Prepare special claim projects; maintains project work/communication logs, uses resources effectively, arrange information and files in a useful manner and meets project deadlines.Compose and prepare documentation for appeals.Process insurance carrier correspondence in a timely and professional manner.Keep current on carrier’s web sites for information that relates to the practice.Perform other office duties as assigned by manager.Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.Required or Preferred Qualifications:Minimum High School Diploma or GED required.Minimum of seven (7) years Accounts Receivable follow up experience.Certified Coding Certification preferred.Familiarity with medical billing software.Essential Competencies:Proficient knowledge of Medical Terminology; ICD-9 and CPT-4 Codes.Proficiency with Microsoft Excel and WordAccurate and efficient data entry skills.Excellent customer service skills.Strong written and verbal communication skills.Proficient computer software and database skills.Strong attention to detail.Ability to multi-task and work in a fast paced environment.Attendance is an essential job function.#LI-REMOTE