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
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 accounts 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.
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 HIPPA 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
Uses Technical and Functional Experience
Possesses up to date knowledge of the profession and industry
Accesses and uses resources when appropriate
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
o 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
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.
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
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.
Internal Number: MCKEA00878040
About US Oncology Network
The US Oncology Network believes local cancer care is better care. We empower the delivery of advanced integrated cancer care through our network of independent physicians who share expertise and resources to provide quality, value-based care close to home.
Our 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.
- 25 years of oncology practice management expertise
- Leader in value-based cancer care with over 900 physicians participating in the Center for Medicaid and Medicare
- Innovation Oncology Care Model – one fourth of the entire population of physicians nationwide
- Over 1,400 affiliated physicians
- More than 450 cancer treatment center locations across the United States
- Over 995,000 patients treated annually