Eligibility Specialist - Regional Business Office

Employment Type: Full Time

In Office Position

Benefits: M/D/V, Life Ins., 401(k), PTO, Paid Holidays 

Norfolk, Virginia

Pay Range: $17-$22 hourly 

JOB 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 The 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 www.usoncology.com. 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.

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

• Contacts 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.

• Contacts 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

• 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

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

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 required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear.  Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.  Requires standing and walking for extensive periods of time.  Occasionally lifts and carries items weighing up to 40 lbs.  Requires corrected vision and hearing to normal range.

WORK ENVIRONMENT: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment.  Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.