Insurance Specialist

The US Oncology Network•Eugene, OR

23h•$21 - $30•Onsite

About The Position

Willamette Valley Cancer Institute is seeking an Insurance Specialist to join their Revenue Cycle team. Insurance Billing is a difficult field, and this position 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, managing insurance denial processes, and medical terminology will find success in this role. Experience in AR and Insurance Follow Up is highly preferred. If you would like to be an advocate for patients, we want to hear from you! The general salary range for this position at WVCI is $21.00 - $30.00. The actual hiring rate is dependent on many factors, including but not limited to: prior work experience, education, job/position responsibilities, location, work performance, internal equity etc. Employment Type: Full Time, 40hr/week (1.0 FTE) Benefits: M/D/V, Life Ins., 401(k) Location: Eugene, OR

Requirements

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.

Nice To Haves

Experience in AR and Insurance Follow Up is highly preferred.

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.