Patient Account Specialist-Insurance Collections

Job Overview

(Only QUALIFIED Healthcare Professionals accepted) Hospital/Clinic Financial – A National Corporation that is a provider of Oncology Patient Treatment and Research is searching for a Medical Collections Specialist. They are seeking aHEAVY MEDICAL COLLECTIONS (INSURANCE CARRIERor PATIENT COLLECTIONS) Patient Account Specialist for a busy specialty multi-physician national oncology practice in San Antonio, TX.Must be doing at least 80% of collections in the present and past positions.

This Oncology Network delivers high-quality, high-touch care to help cancer patients achieve more breakthroughs in their fight against cancer. They are an independent, physician-led practice delivering leading-edge technology and treatment options and conducting innovative research. Founders of the practice pioneered community-based care to enable more cancer patients to receive high-quality care while staying close to the critical support of family and friends.

This Oncology Treatment Network has more than 150 sites of service throughout Texas, with more than 350 physicians dedicated to serving our patients. On average, we treat more than 50,000 new cancer patients each year, with documented growth year over year. They pioneered the concept of community-based, outpatient, multidisciplinary cancer centers. We give local communities access to leading-edge technology that was previously only available in larger metropolitan areas.

Job Duties:

Will perform audits of patient accounts to ensure accuracy and timely payment.
Aging reports on a monthly basis and reports inconsistencies; corrects errors as appropriate.
Contact patients regarding delinquent accounts and arranges mutually acceptable payment schedules.
Follow up on insurance billing to ensure timely receipt of payments.
Will deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.
Receive and resolve patient billing complaints and questions.
Initiate adjustments as necessary and follow up on all zero payment EOBS and exercise all options to obtain claim payments.
Review credit balance reports for the correct recipient of refund.
Reconcile refund accounts; attached documentation and forwards to the supervisor to process refund checks.
Identify problems on accounts and follows through to a conclusion
Respond to insurance companies requests for information in a prompt and professional manner.
Review appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to the appropriate court in a timely manner.
Make financial arrangements for payment of patient accounts and follow up to determine if payment arrangements are being met; contacts patients to resolve problems; respond to correspondence or telephone calls from patients about accounts
Will review EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to a supervisor.
Job Requirements:

Have a high school diploma and|or GED.
Must have at least 3 years of A|R experience for a multi-physician practice. Must have recent working experience with adjustments, appeals, credits, dealing with insurance companies and patients.
Must have at least 5-7 years experience in a medical business office setting.
Must have demonstrated work history on high dollar collections, appeals and in dealing with insurance carriers, patients, and collection agencies.
Must have strong computer knowledge working with various billing applications|software.
Must be dependable and willing to work extended hours – occasional.
To learn more about this opportunity please email linda@alamohr.com