Insurance Specialist II

Overview

The US Oncology Network is looking for an Insurance Specialist II to join our team at Texas Oncology. This full‑time hybrid position supports the Radiation Department at 3001

E. President George Bush Hwy Suite 100, Richardson, Texas. Typical work week is Monday through Friday, 8:30 a.m. – 5:00 p.m.

• 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.

Level 1 (Required)

• 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.

Level 2 (Additional to Level
1)

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

Senior Level (Additional to Level 1 &
2)

• Associates 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.

• Customer Service
• Adaptability
• Decision Making
• Work Commitment
• Quality Focus
• Flexibility

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 is performed in an office environment. Involves frequent contact with staff. While performing the duties, 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.

Mid‑Senior level

Full‑time

Other

Hospitals and Health Care