Medical Biller

Company: The US Oncology Network
Location: Portsmouth
Posted on: March 11, 2023

Job Description:

Overview:

Employment Type : Full Time

In-Office Position
Benefits : M/D/V, Life Ins., 401(k)

Norfolk, Virginia

JOB SCOPE: With minimal 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 to complex account inquiries
--- Performs responsibilities within standard procedures and pre-established guidelines to complete tasks. A certain degree of creativity and latitude is required. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values



The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer!

About US Oncology
The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit . We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.

Pay Range: $17-$23 hourly
Responsibilities:

ESSENTIAL DUTIES AND 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
• Contact's 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 regarding patient records
• Proactively identifies processes and procedures and develops tools to improve efficiencies
• Performs other duties as requested or assigned Qualifications:
  
  QUALIFICATIONS:
  
  • 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

Keywords: The US Oncology Network, Portsmouth , Medical Biller, Healthcare , Portsmouth, Virginia