Insurance Specialist

Compensation

: $70,030.00 - $99,340.00 /year *

Employment Type

: Full-Time

Industry

: Financial Services - Insurance



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Compass Oncology is seeking an Insurance Specialist to join their team. Insurance Billing is a difficult field, and is compounded by the complexities of cancer care. Our team of Insurance Specialists work tirelessly to make sure insurance companies reimburse for stated coverage and patient s out of pocket costs are as low as possible. A person who is comfortable on the phone, has experience and knowledge of insurance companies, EOBs, and medical terminology will find success in this role. Experience in AR and Insurance Follow Up is preferred. If you would like to be an advocate for patients, we want to hear from you!
Employment Type: Full Time
Benefits: M/D/V, Life Ins., 401(k)
Location: Vancouver, WA Central Business Office
JOB SCOPE:
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.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Reviews reports, researches and resolves issues pertaining to insurance denials
Works with co-workers to resolve insurance payment and billing errors
Reviews payment postings for accuracy and to ensure account balances are current
Accurately analyze EOBs to determine how payment responsibility is shared between patient and insurance company
Monitors and updates delinquent accounts status
Recommends accounts for collection or write-off
Contacts patients to verify demographics and insurance providers, updates information in systems, and documents conversations.
Answers patient payment, billing, and insurance questions and resolves complaints.
May refer patients to Patient Benefits Representative to set up payment plans
Assists in research in order to accurately report refunds
Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records
Performs other duties as requested or assigned
QUALIFICATIONS:
High 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
More About The Company
Compass Oncology team brings together leading cancer experts in the fields of surgical, medical and radiation oncology, pathology and palliative care to provide the most comprehensive cancer care possible and an even more cohesive patient experience. In addition, the majority of our physicians specialize in particular cancer types, bringing a heightened level of expertise to our patients. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity where you are proud of what you do, work hard, have fun, want to learn and go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you!
As a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. We serve the Portland and Vancouver communities with clinical offices located throughout the metro area.
To learn more about Compass Oncology and its daily mission, please visit our website at www.CompassOncology.com.
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.
Category: Admin
CODES:
*M
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
Associated topics: adjuster, auto, bodily, claim, claim adjuster, fraud, insurance, insurance adjuster, investigation, liability adjuster * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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