Revenue Cycle Specialist/Accounts Receivable

$41,600 - $49,920/Yr

US Oncology Network - Norfolk, VA

Full-time

Norfolk, VA

Ambulatory Health Care Services

About the position

The Revenue Cycle Specialist/Accounts Receivable position at The US Oncology Network is a full-time, in-office role based in Norfolk, Virginia. This position is crucial for ensuring that payer and patient account balances are paid in a timely manner and remain current. Under general supervision, the specialist will engage in various collection activities, including monitoring delinquent accounts, contacting patients for account payments, resolving billing issues, and addressing both routine and non-routine inquiries related to accounts. The role requires adherence to standard procedures and pre-established guidelines to complete tasks effectively. The specialist will also support and comply with The US Oncology Compliance Program, which includes the Code of Ethics and Business Standards, as well as The US Oncology's Shared Values. The US Oncology Network is recognized as one of the largest networks of community-based oncology physicians in the United States, dedicated to advancing cancer care. Supported by McKesson Corporation, the organization aims to empower a sustainable community patient care delivery system that enhances the science, technology, and quality of care. The work environment is designed to foster forward-thinking and advancement opportunities, making it an inspiring place for employees to contribute to the fight against cancer. The organization is committed to celebrating new successes and continuously seeks top talent to propel its mission forward.

Responsibilities

• Monitors delinquent accounts and performs collection duties
• Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, and resubmits claim to payer
• Reviews payment postings for accuracy and to ensure account balances are current
• Works with co-workers to resolve payment and billing errors
• Monitors and updates delinquent accounts status
• Recommends accounts for collection or write-off
• Verifies existing patients have necessary referral and/or authorization documentation prior to examination date
• Contacts and follows up with patient's physician for any missing or incomplete documentation
• 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
• Contacts third party payors to resolve payor issues, expedite claim processing, and maximize medical claim reimbursement
• 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
• Proactively identifies processes and procedures and develops tools to improve efficiencies
• Performs other duties as requested or assigned

Requirements

• High School diploma or equivalent required
• 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
• Demonstrate knowledge of state & federal collections guidelines
• Must successfully complete required e-learning courses within 90 days of occupying position

Benefits

• Medical Health Care
• Dental Care
• Vision Plan
• 401-K with a matching component
• Life Insurance
• Short-term and Long-term disability
• Wellness & Perks Programs