Note: The job is a remote job and is open to candidates in USA. OneOncology is a patient-centric, physician-driven, and technology-powered organization supporting community oncologists and improving care for people living with cancer and other diseases. The Accounts Receivable Representative processes health insurance claims accurately and on time, manages correspondence and appeals, researches authorizations, resolves pended claims, and identifies payment trends or procedural obstacles.
Responsibilities
- Keep current on carrier(s) website information that relates to the practice
- Process insurance carrier correspondence in a timely and professional manner
- Compose and prepare documentation for appeals
- Use resources effectively, arrange information and files in a useful manner, and meet project deadlines
- Prepare special claim projects; maintain project work/communication logs
- Identify non-payment trends or procedural roadblocks and report to Supervisor as needed
- Maintain a solid balance of health insurance claims that are 35 average days outstanding
- Research authorizations, work with providers, and manage pended claims promptly
- Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer
Skills
- Minimum High School Diploma or GED
- Minimum of five (5) years of Medical Billing and insurance claim filing experience
- Familiarity with medical billing software
- Ability to type a minimum of 40 words per minute
- Attention to detail, willingness to learn, and bring forth ideas
- Ability to multi-task, effectively problem-solve, and work in a fast-paced environment
- Proficient computer software and database skills, especially with Word and Excel
- Strong written and verbal communication skills
- Accurate and efficient data entry skills
- Proven organizational skills and ability to prioritize effectively
- Demonstrated ability to work independently and as an effective healthcare team member
- Current knowledge of acceptable and appropriate clinical practice, quality assurance, and patient management and care
- Proficient knowledge of Medical Terminology: ICD and CPT codes
- Ambulatory Surgical/Procedures/Urology experience preferred
Benefits
- Remote work
Company Overview