What are the responsibilities and job description for the Insurance Representative position at Highlands Oncology Group?
We are seeking a dedicated Insurance Representative who thrives in a fast-paced medical environment and takes pride in removing financial barriers for patients during some of life’s most challenging moments. If you’re detail-oriented, patient-focused, and ready to make a meaningful impact every day, we encourage you to apply.
Highlands Oncology began in 1996 with three physicians and a desire to change the face of oncology care in our community. Dr. Malcolm Hayward, Dr. Dan Bradford, and Dr. Thad Beck knew that patients do better at home, in the community where they live and work, and where their support system is already in place. In furthering that goal, Highlands has grown with the region from a single location 26 years ago, to 6 locations in Northwest and Northcentral Arkansas today employing more than 850 diverse team members.
As Northwest Arkansas continues to grow, so must the services and providers available in the region. Highlands Oncology is committed to remaining on the cutting edge to ensure our community has access to the very best cancer care. What we have is something quite unique right here in our own backyard with a caring multidisciplinary team focused on treating patients like family.
Job Summary:
The Insurance Representative is responsible for analyzing, investigating, following up on denied and/or underpaid claims, as well as patient balances, to facilitate payment and resolution with patient accounts.
Job Duties / Responsibilities:
- Review claim issues to determine the accuracy of reimbursement payments.
- Provide medical records and/or other requests to substantiate payment of claims to insurance payers.
- Review and resolve assigned tasks in the Unity/Centricity queue.
- Able to organize and prioritize tasks to complete all work assigned in a timely manner.
- Routinely monitors all high balance accounts to ensure follow up activity.
- Develops monthly action plans to lower A/R and increase cash flow.
- Answer all patient calls professionally to help to resolve any claims or billing questions.
- Informs departmental leadership of any insurance related issues of importance.
- Maintains patient and clinic confidentiality and adheres to clinical standards, policies, & procedures.
- Maintain a professional relationship with physician teams.
- Maintain pleasant/helpful attitude towards patients and staff.
- Perform all related duties as required by Revenue Cycle Manager(s), Business Office Director, CFO, and CEO.