• Job Description

  Req#: 39916
  Overview
  
  At Comprehensive Cancer Centers of Nevada (CCCN) a distinguished team of doctors, researchers, nurses, and healthcare professionals have provided patients with groundbreaking treatments on the healing edge of medicine for more than 50 years. Our team provides the most effective treatments, both existing and emerging, to diagnose and successfully treat cancer and blood disorders. We support this goal with state-of-the-art facilities across Southern Nevada, all of which integrate the latest diagnostic, therapeutic and research capabilities. CCCN is dedicated to patient-centered care, advancing innovation, discovery, and improving outcomes. Motivated, caring professionals are encouraged to join us.
  
  Career Opportunity:
  Comprehensive Cancer Centers of Nevada is seeking a remote Insurance Specialist/AR Follow Up located in Southern Nevada (Las Vegas, Henderson, Boulder City, Pahrump). The Insurance Specialist/AR Follow up is responsible for payer and patient account balances being paid timely and remaining current.
  
  SCOPE:
  Under general 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 and non-routine account inquiries. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values.
  
  Responsibilities
  
  ESSENTIAL DUTIES AND RESPONSIBILITIES:
  
  
  • Monitors delinquent accounts and performs collection duties.
  • Reviews reports, researches and resolves issues.
  • Reviews payment postings for accuracy and to ensure account balances are current.
  • Works with co-workers to resolve insurance payment and billing errors.
  • Monitors and updates delinquent accounts status
  • Recommends accounts for collection or write-off.
  • Answers patient payment, billing, and insurance questions and resolve complaints.
  • Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations.
  • May refer patients to Patient Benefits Representative to set up payment plans.
  • 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.
  • Performs other duties as requested or assigned
  
  Qualifications
  
  MINIMUM QUALIFICATIONS:
  
  • High School diploma or equivalent required
  • Minimum two (2) years combined medical billing and payment experience required.
  • 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
  
  COMPETENCIES:
  
  • Uses Technical and Functional Experience
  • Possesses up to date knowledge of the profession and industry.
  • Accesses and uses resources when appropriate.
  • Demonstrates Adaptability
  • Handles day-to-day work challenges confidently.
  • Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change.
  • Shows resilience in the face of constraints, frustrations, or adversity.
  • Demonstrates flexibility.
  • Customer Service
  • Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
  • Uses Sound Judgment
  • Makes timely, cost effective, and sound decisions.
  • Makes decisions under conditions of uncertainty.
  • Shows Work Commitment
  • Sets high standards of performance.
  • Pursues aggressive goals and works efficiently to achieve them.
  • Commits to Quality.
  • Emphasizes the need to deliver quality products and/or services.
  • Defines standards for quality and evaluates products, processes, and services against those standards.
  • Manages quality.
  • Improves efficiencies.
  
  PHYSICAL DEMANDS:
  
  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to manipulate a computer keyboard and mouse. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.
  
  WORK ENVIRONMENT:
  
  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment.
  
  Successful candidates will thrive in a fast-paced, rapidly changing environment and have a passion for caring for their patients.
  
  Ready For Your Next Career Challenge? We'd Love to Hear from You!
  If you possess the above qualifications and a desire to make a difference, we invite you to submit your resume and apply. In addition to a great career opportunity, we offer excellent benefits, a team environment, professional development, and the chance to be part of a nationwide network dedicated to fighting the war against cancer. To apply please click on the "Apply" link.
  
  The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status. This employer participates in E-Verify.

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