Patient Account Specialist I

Delaware's Largest Cancer Treatment Group- Medical Oncology Hematology Consultants, Newark, DE

We are a private practice comprised of 11 physicians and 10 APPs. Our mission is to provide quality cancer care to the patients in our local community. We are affiliated with the US Oncology Network, which is one of the nation's largest networks of integrated, community-based oncology practices that are dedicated to advancing high-quality, evidence-based cancer care. Our board-certified physicians in Hematology and Medical Oncology, Palliative Care Medicine, and breast surgery have trained and held faculty positions in nationally and internationally recognized academic centers. Our physicians have extensive experience in the diagnosis and treatment of malignant diseases and disorders of the blood and breast.

Through our relationship with the US oncology Network, we are able to offer a competitive salary and affordable benefits including but not limited as Medical, Dental, Vision, life insurance, 401K profit sharing, tuition reimbursement, and parental leave.

We have an opening for a Patient Account Specialist I.

Under general supervision, provides professional nursing care for patients adhering to national and company standards and guidelines for specialty regulations. Demonstrates knowledge of physiological, psychological, and developmental and age specific differences in the patient population including late adolescence, adulthood, middle age, and the elderly. Collaborates with the interdisciplinary team to provide for assessment and therapeutic management of patient/family needs. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

-Performs audits of patient accounts to ensure accuracy and timely payment.
-Reviews account agings on a monthly basis and reports inconsistencies and corrects errors as appropriate.
-Contacts patients regarding delinquent accounts and arranges mutually acceptable payment schedules.
-Follows up on insurance billing to ensure timely receipt of payments. Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.
-Receives and resolves patient billing complaints and questions; initiates adjustments as necessary. Reviews credit balance reports for correct recipient of refund.
-Attaches documentation and forwards to supervisor to process refund checks.
-Identifies problems on accounts and follows through to conclusion.
-Responds to insurance companies requests for information in a prompt and professional manner.
-Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts.
-Works closely with collection agency to assure that they receive updated information on accounts as necessary.
-Processes insurance/patient correspondence, including denial follow-up within 48 hours of receipt. Files all reimbursement correspondence daily.
-Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation.

-All other duties as assigned.

MINIMUM QUALIFICATIONS:

High school graduate or equivalent required. Minimum three years experience in a medical business office setting with insurance processing and balancing responsibilities.

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 will be offered to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.

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 will be offered to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.