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Tennessee Cancer Specialists, PLLC

AR Medical Insurance Specialist - Remote

norfolk, VA

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Job description

Job Title: Medical Billing SpecialistEmployment Type: Full TimeREMOTEBenefits: M/D/V, Life Ins., 401(k)Wage Range: $20-25/hourSCOPE: With minimal supervision, is responsible for payer and patient account balances being paid timely and remaining current. Performs collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering routine to complex account inquiries. Performs responsibilities within standard procedures and pre-established guidelines to complete tasks. Supports and adheres to The US Oncology's Compliance Program, to include the Code of Ethics and Business Standards, and The US Oncology's Shared ValuesThe US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit We extend an extremely competitive offering of benefits to employees, including medical, dental, and vision plans, 401k with a matching component, life insurance, short-term and long-term disability, and wellness programs.ResponsibilitiesESSENTIAL DUTIES AND RESPONSIBILITIESMonitors delinquent accounts and performs collection dutiesReviews reports, researches and resolves issuesReviews payment postings for accuracy and to ensure account balances are currentWorks with co-workers to resolve insurance payment and billing errorsMonitors and updates delinquent accounts statusRecommends accounts for collection or write-offContacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations.Answers patient payment, billing, and insurance questions and resolves complaintsMay refer patients to Patient Benefits Representative to set up payment plansMaintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulationsAdheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient recordsPerforms other duties as requested or assignedQualificationsMINIMUM QUALIFICATIONSHigh School diploma or equivalent requiredMinimum two (2) years combined medical billing and payment experience requiredDemonstrate knowledge of state, federal, and third party claims processing requiredDemonstrate knowledge of state & federal collections guidelinesMust successfully complete required e-learning courses within 90 days of occupying positionCOMPETENCIESUses Technical and Functional ExperiencePossesses up to date knowledge of the profession and industryAccesses and uses resources when appropriateDemonstrates AdaptabilityHandles day to day work challenges confidentlyIs willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid changeShows resilience in the face of constraints, frustrations, or adversityDemonstrates flexibilityCustomer ServiceDemonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.Uses Sound JudgmentMakes timely, cost effective, and sound decisionsMakes decisions under conditions of uncertaintyShows Work CommitmentSets high standards of performancePursues aggressive goals and works efficiently to achieve themCommits to QualityEmphasizes the need to deliver quality products and/or servicesDefines standards for quality and evaluates products, processes, and services against those standardsManages qualityImproves efficienciesPHYSICAL DEMANDSThe 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 accommodation will be offered to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to manipulate a computer keyboard and mouse. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.WORK ENVIRONMENTThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation will be offered to enable individuals with disabilities to perform the essential functions. Work is performed in a remote home office environment. Involves frequent interaction with other employees, payers and Practice staff.

Worksite address

norfolk, VA, 23501, US

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