Insurance Specialist II

Insurance Specialist II – Texas Oncology

Join to apply for the Insurance Specialist II role at Texas Oncology
. This full‑time position will support the Medical Oncology Department at our 8501 N. Mopac Suite 310 location in Austin, Texas. Typical work week is Monday through Friday, 8:00 a‑5:00 p.

A part of The US Oncology Network
, Texas Oncology delivers high‑quality, evidence‑based care to patients close to home.
Texas Oncology is the largest community oncology provider in the country, with approximately 530 providers in 280+ sites across Texas. Our mission is still the same today—at Texas Oncology
, we use leading‑edge technology and research to deliver high‑quality, 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.

• Monitors delinquent accounts and performs collection duties.
• 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.
• Monitors and updates delinquent account status.
• Recommends accounts for collection or write‑off.
• Contacts 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 complaints.
• May refer patients to Patient Benefits Representative to set up payment plans.
• Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations.
• Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records.
• Performs other duties as requested or assigned.

• 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.

• Minimum four (4) years combined medical billing and payment experience required.
• Demonstrate knowledge of medical coding, preferably oncology coding.

• Associate’s degree in Finance, Business or four years revenue cycle experience preferred.
• Minimum two (2) years insurance resolution experience resolving issues with patients and payers as well as four (4) years combined medical billing and payment experience required.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.
• Demonstrate knowledge of oncology medical coding.
• Demonstrate knowledge of state, federal, and third‑party claims processing required.

• Uses Technical and Functional Experience
• Possesses up to date knowledge of the profession and industry
• Accesses and uses resources when appropriate
• Demonstrates Adaptability
• Handles day to day work challenges confidently
• Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change
• Shows resilience in the face of constraints, frustrations, or adversity
• Demonstrates flexibility
• Customer Service
• Demonstrates 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 Judgment
• Makes timely, cost effective, and sound decisions
• Makes decisions under conditions of uncertainty
• Shows Work Commitment
• Sets high standards of performance
• Pursues aggressive goals and works efficiently to achieve them
• Commits to Quality
• Emphasizes the need to deliver quality products and/or services
• Defines standards for quality and evaluates products, processes, and services against those standards.
• Manages quality
• Improves efficiencies

The physical demands described here are representative of those that must be met by…