Patient Account Specialist

Join to apply for the Patient Account Specialist role at The US Oncology Network
.

Overview The US Oncology Network believes local cancer care is better care and, in 2017, Vantage Oncology joined the network. The organization empowers the delivery of advanced integrated cancer care through a network of independent physicians who share expertise and resources to provide quality, value-based care close to home. Clinical and business support capabilities, expertise, and industry‑leading technologies keep local practices at the forefront of high‑quality, efficient care delivery while enabling practice success, quality of life, and financial security for physicians.

We have an immediate opening for a Patient Account Specialist
. Under minimal supervision, the specialist is responsible for account follow‑up for all assigned accounts, resolving billing problems, answering patient inquiries, and setting up financial arrangements. The role uses collection techniques to keep accounts receivable current, monitors delinquent payments, and may assist with daily and monthly business office functions, including reporting, file maintenance, and special projects. The specialist supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.

• Performs audits of patient accounts to ensure accuracy and timely payment.
• Reviews account aging and reports inconsistencies, correcting errors as appropriate.
• Contacts patients regarding delinquent accounts and calculates and documents mutually acceptable payment schedules.
• Follows up on insurance billing to ensure timely receipt of payments.
• Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero explanations of benefits and exercises all options to obtain claim payments. Serves as resource for other patient account follow up specialists regarding issues with patient accounts.
• Reviews and processes adjustments and refund requests. Assists with review of financial disclosures and negotiated agreement adjustments. Reviews appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to appropriate court in a timely manner.
• Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts.
• Ensures the review of EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends.
• Maintains payor profiles.
• Works closely with collection agency to assure that they receive updated information on accounts as necessary.
• Prepares and submits write‑off requests with appropriate documentation.
• Processes insurance/patient correspondence, including denial follow‑up. Maintains reimbursement correspondence and filing systems.
• Works with provided aging to monitor patient account aging’s and follows up appropriately.
• May assist with daily and monthly business office functions, including reporting, file maintenance and special projects.
• Provides guidance and daily work direction to business office staff.

MINIMUM QUALIFICATIONS:

High school graduate or equivalent required. Minimum five years’ experience in a medical business office setting with insurance processing and balancing responsibilities.

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. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 40 pounds.

Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment and involves frequent interaction with staff, physicians, patients and outside insurers.

• Mid‑Senior level

• Full‑time

• Health Care Provider
• Hospitals and Health Care