Job Description
Overview:
Employment Type : Full Time
In-Office Position
Benefits : M/D/V, Life Ins., 401(k)
Norfolk, Virginia
JOB SCOPE: Under direct supervision, is responsible for posting all cash receipts and appropriate adjustments to patient accounts. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
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.
Responsibilities:
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Post's line-item payments and adjustments to patient accounts within 24 hours of receipt in business office according to established office guidelines.
- Sorts lock box receipts and post accordingly to patient accounts.
- Analyzes any credit accounts to determine if a refund should be processed. Processes any necessary refunds.
- Balances receipts, reconciles daily work batches, and prepares audit trail.
- Prepares deposits for bank.
- Maintains all checks and EOBs together by deposit date to ensure batch integrity.
- Identifies on primary payment (EOB) when a secondary payor is present and refers accordingly.
- Scan's explanation of benefits for incorrect and/or inconsistencies in reimbursement.
- Maintains confidentiality regarding patient account status and the financial affairs of clinic/corporation.
- Identifies consistent fee schedule allowable differences and communicates upline for updating.
- Communicates payor trends to supervisor.
Qualifications:
Qualifications:
- High school diploma or equivalent required. Associates degree preferred.
- Minimum two (2) years payment specialist or benefits representative experience required
- Proficiency with computer systems and Microsoft Office (Word and Excel) required.
- Knowledge of third-party payor reimbursement procedures and practices required.