Lead AR Medical Insurance Specialist

🔥 32 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $25 - $30 / hour

⏰ Full Time

🟠 Senior

🔒 Insurance

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

The US Oncology Network

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1999

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

The US Oncology Network is a network of community-based oncology practices that provides operational, clinical, and financial support to member practices. It offers drug purchasing and management, practice optimization advisors, value-based care programs, technology solutions (revenue-cycle and inventory management), and full-service practice management, while also advocating on public policy to support specialty providers. The Network focuses on helping oncology practices improve patient care and business performance through shared services, expertise, and partnerships.

📋 Description

• Monitor the revenue cycle workload and reassign work as necessary to meet deadlines • Perform revenue cycle job responsibilities as needed to meet deadlines • Direct coworkers’ revenue cycle workload, audit work for accuracy and completeness, reassign work, and establish priorities • Review reports to verify collection and billing submission tasks are completed and deadlines are met • Provide procedure guidance and direction to coworkers • Research, resolve, or provide direction on escalated issues • Train coworkers on policies and procedures • Verify patients have necessary referral and authorization documentation before examination dates • Follow up with physicians regarding missing or incomplete documentation • Spot-check patient charts for completeness • Contact clinical staff for clarification on procedures, diagnoses, and missing information • Review claim-denial reports and work with coworkers on status and resolution • Review payment postings and ensure account balances are current • Perform detailed account reconciliation • Code, process, and submit insurance claims to third-party payors • Identify and report payer trends, denial patterns, and delays; recommend write-offs • Maintain confidentiality and comply with state, federal, and HIPAA laws and guidelines • Maintain patient and payor credit balances and ensure timely refunds • Identify revenue cycle process and procedure gaps and develop efficiency tools • Maintain and update revenue cycle Standard Operating Procedures • Develop training materials and tools as needed • Support and adhere to the US Oncology Compliance Program, Code of Ethics, Business Standards, and Shared Values • Perform other assigned duties

🎯 Requirements

• High School diploma or equivalent required • Associates degree preferred • Minimum two (2) years insurance resolution experience resolving issues with patients and payors • Four (4) years combined automated medical billing and payment experience required • Proficiency with computer systems and Microsoft Office (Word and Excel) required • Knowledge of oncology medical coding required • Knowledge of medical billing, payment, financial aid, insurance, and payor processes and procedures • Knowledge of state, federal, and third party claims processing required • Knowledge of state and federal collections guidelines required • Must successfully complete required e-learning courses within 90 days of occupying position • Must be present online during regularly scheduled business hours • Ability to sit or stand and talk or hear; extensive sitting required • Ability to occasionally lift and carry items weighing up to 40 lbs. • Corrected vision and hearing to normal range

🏖️ Benefits

• Health, dental, and vision plans • Wellness program • Health savings account • Flexible spending accounts • 401(k) retirement plan • Life insurance • Short-term disability insurance • Long-term disability insurance • Employee Assistance Program • PTO • Holiday pay • Employee-paid critical illness and accident insurance • Minimal travel may be required

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume