Accounts Receivable Representative

Overview

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.

Job Description

The Accounts Receivable Representative is responsible for the timely and accurate processing of health insurance claims with various insurance companies.

Primary Duties & Responsibilities

• Research authorizations, work with providers, and manage pended claims promptly.
• Maintain a solid balance of health insurance claims that are 35 average days outstanding.
• Identify non-payment trends or procedural roadblocks and report same to Supervisor as needed.
• Prepare special claim projects; maintain project work/communication logs.
• Use resources effectively, arrange information and files in a useful manner, and meet project deadlines.
• Compose and prepare documentation for appeals.
• Process insurance carrier correspondence in a timely and professional manner.
• Keep current on carrier(s) website information that relates to the practice.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.

Qualifications

• Minimum High School Diploma or GED required.
• Minimum of five (5) years of Medical Billing and insurance claim filing experience.
• Familiarity with medical billing software.

Knowledge, Competencies & Skills

• Proficient knowledge of Medical Terminology: ICD and CPT codes.
• Current knowledge of acceptable and appropriate clinical practice, quality assurance, and patient management and care.
• Demonstrated ability to work independently and as an effective healthcare team member.
• Proven organizational skills and ability to prioritize effectively.
• Accurate and efficient data entry skills.
• Excellent customer service skills.
• Strong written and verbal communication skills.
• Proficient computer software and database skills, especially with Word and Excel.
• Ability to multi-task, effectively problem-solve, and work in a fast-paced environment.
• Attention to detail, willingness to learn, and bring forth ideas.
• Ability to type a minimum of 40 words per minute.

Tech Requirements for the Job

• High-speed, reliable internet connection to ensure uninterrupted communication and access to necessary systems and tools.
• Quiet and private work environment to maintain the confidentiality of patient information and minimize background noise during calls.
• Proficiency in using remote collaboration tools, such as video conferencing software, instant messaging platforms, and customer relationship management systems.
• Compliance with all security and privacy policies and protocols, including safeguarding patient information and maintaining HIPAA compliance.

Physical Requirements for the Job

• Regularly required to sit and stand for extended periods.
• Involves standing, sitting, walking, bending, stooping, and twisting.
• Requires full range of body motion, including manual and finger dexterity and eye-hand coordination.
• Occasionally lifts and carries items weighing up to 25 lbs.

Compensation

Job Type: Full-Time

Pay Range: $19.00 - $25.00 per hour

Actual compensation offered to candidates is based on work experience, education, skill level, and geographic location. Compensation may vary depending on the state or region in which the position is located, in accordance with applicable laws.

This position has no close date. Applications will be accepted until an offer has been extended and accepted.

Equal Opportunity Employer

Our Practice is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, age, sex, national origin, disability, veteran status, or sexual orientation. The successful candidate(s) for any UUG position will be subject to a pre-employment background check.