Accounts Receivable Representative

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description:

Role Summary:

The Accounts Receivable Representative is responsible for the timely and accurate processing of health insurance claims with various insurance companies. This role reports to the A/R Manager.

Responsibilities:

• Keep current on carrier(s) website information that relates to the practice.
• Process insurance carrier correspondence in a timely and professional manner.
• Compose and prepare documentation for appeals.
• Use resources effectively, arrange information and files in a useful manner, and meet project deadlines.
• Prepare special claim projects; maintain project work/communication logs.
• Identify non-payment trends or procedural roadblocks and report to Supervisor as needed.
• Maintain a solid balance of health insurance claims that are 35 average days outstanding.
• Research authorizations, work with providers, and manage pended claims promptly.
• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Required or Preferred Qualifications:

• Minimum High School Diploma or GED required.
• Minimum of five (5) years of Medical Billing and insurance claim filing experience.
• Ambulatory Surgical/Procedures/Urology experience preferred.
• Familiarity with medical billing software.

Essential Competencies:

• Ability to type a minimum of 40 words per minute.
• Attention to detail, willingness to learn, and bring forth ideas.
• Ability to multi-task, effectively problem-solve, and work in a fast-paced environment.
• Proficient computer software and database skills, especially with Word and Excel.
• Strong written and verbal communication skills.
• Accurate and efficient data entry skills.
• Proven organizational skills and ability to prioritize effectively.
• Demonstrated ability to work independently and as an effective healthcare team member.
• Current knowledge of acceptable and appropriate clinical practice, quality assurance, and patient management and care.
• Proficient knowledge of Medical Terminology: ICD and CPT codes.
• Attendance is an essential job function.

This job description does not contain a full listing of activities, duties or responsibilities required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.

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