US Oncology Network-wide Career Opportunities
Insurance Specialist
US Oncology Network-wide Career Opportunities, Austin, Texas, us, 78716
OverviewTexas Oncology
is looking for an
Insurance Specialist
to join our team!This full time hybrid remote position will support the Austin Regional Business Office location. Typical work hours will be an 8 hour shift between the hours of 7:30am to 5:30pm. This is a hybrid remote position so the employee will be required to attend occasional meetings and training. This person will need to reside in the Austin region.This position can be either a level 1, 2 or Sr based on candidate experience.
Texas Oncology
is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." in their fight against cancer. Today,
Texas Oncology
treats half of all Texans diagnosed with cancer on an annual basis.
Why work for us?Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas. We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.What does the Insurance Specialist do?Under general 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 and non-routine account inquiries. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values.Responsibilities
The essential duties and responsibilities:Reviews reports, researches and resolves issues.Reviews payment postings for accuracy and to ensure account balances are current.Works with co-workers to resolve insurance payment and billing errors.Contacts third party payors to resolve payor issues, expedite claim processing, and maximize medical claim reimbursement.Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records.Performs other duties as requested or assigned.
Qualifications
The ideal candidate for the position will have the following background and experience:Level 1High School diploma or equivalent required.Minimum two (2) years combined medical billing and payment experience required.Demonstrate knowledge of state, federal, and third party claims processing required.Demonstrate knowledge of state & federal collections guidelines.Must successfully complete required e-learning courses within 90 days of occupying position.Level 2 (in addition to level 1 requirements)Minimum four (4) years combined medical billing and payment experience requiredDemonstrate knowledge of medical coding, preferably oncology codingLevel Sr (in addition to level 1 and 2 requirements)Associates degree in Finance, Business or four years revenue cycle experience preferredMinimum two (2) years insurance resolution experience resolving issues with patients and payers as well as four (4) years combined medical billing and payment experience requiredProficiency with computer systems and Microsoft Office (Word and Excel) requiredDemonstrate knowledge of oncology medical codingDemonstrate knowledge of state, federal, and third party claims processing requiredCOMPETENCIESUses 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 efficiencies
PHYSICAL DEMANDS
The 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 accommodations may be made 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 ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations maybe made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment.
is looking for an
Insurance Specialist
to join our team!This full time hybrid remote position will support the Austin Regional Business Office location. Typical work hours will be an 8 hour shift between the hours of 7:30am to 5:30pm. This is a hybrid remote position so the employee will be required to attend occasional meetings and training. This person will need to reside in the Austin region.This position can be either a level 1, 2 or Sr based on candidate experience.
Texas Oncology
is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." in their fight against cancer. Today,
Texas Oncology
treats half of all Texans diagnosed with cancer on an annual basis.
Why work for us?Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas. We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.What does the Insurance Specialist do?Under general 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 and non-routine account inquiries. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values.Responsibilities
The essential duties and responsibilities:Reviews reports, researches and resolves issues.Reviews payment postings for accuracy and to ensure account balances are current.Works with co-workers to resolve insurance payment and billing errors.Contacts third party payors to resolve payor issues, expedite claim processing, and maximize medical claim reimbursement.Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records.Performs other duties as requested or assigned.
Qualifications
The ideal candidate for the position will have the following background and experience:Level 1High School diploma or equivalent required.Minimum two (2) years combined medical billing and payment experience required.Demonstrate knowledge of state, federal, and third party claims processing required.Demonstrate knowledge of state & federal collections guidelines.Must successfully complete required e-learning courses within 90 days of occupying position.Level 2 (in addition to level 1 requirements)Minimum four (4) years combined medical billing and payment experience requiredDemonstrate knowledge of medical coding, preferably oncology codingLevel Sr (in addition to level 1 and 2 requirements)Associates degree in Finance, Business or four years revenue cycle experience preferredMinimum two (2) years insurance resolution experience resolving issues with patients and payers as well as four (4) years combined medical billing and payment experience requiredProficiency with computer systems and Microsoft Office (Word and Excel) requiredDemonstrate knowledge of oncology medical codingDemonstrate knowledge of state, federal, and third party claims processing requiredCOMPETENCIESUses 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 efficiencies
PHYSICAL DEMANDS
The 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 accommodations may be made 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 ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations maybe made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment.