This position is located in our Business Office Location in Birmingham.

Scope:

Under general supervision, is responsible for account follow-up for all assigned accounts, resolving billing problems and answering patient inquiries. Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments.

Essential Duties and Responsibilities:

• Reviews account aging on a monthly basis and reports inconsistencies and corrects errors as appropriate.
• 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; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments.
• Reviews credit balance reports for correct recipient of refund.
• Responds to insurance companies requests for information in a prompt and professional manner.
• Reviews appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to appropriate court in a timely 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.
• Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.
• Prepares write-off requests with appropriate documentation and submits to supervisor
• Maintains confidentiality in regard to patient account status and the financial affairs of clinic/corporation,
• All other duties as assigned.

Additional Skills and Abilities:

• Knowledge of medical billing and collection practices.
• Knowledge of insurance agency operating procedures and practices.
• Ability to understand and follow oral and written communications.
• Skill with computer applications and use of 1O-key by touch, copier and other office equipment
• Knowledge of medical terminology.
• Analytical and critical thinking.

Education and/or Experience:

• High school graduate or equivalent required.
• Minimum three (3) years' experience in a medical business office setting with insurance processing and balancing responsibilities.
• Oncology experience strongly preferred.
• Proficiency in CPT and ICD10 coding.
• All newly hired must provide proof they have received the COVID-19 vaccination, in full, prior to their date of hire as a condition of new employment, unless otherwise exempted from this requirement by an approved accommodation pursuant to the interactive process. As applicable, new employees are required to, at the latest, begin compliance with this Policy during the pre-employment onboarding process. Alabama Oncology does not wish to obtain personal health information during the collection of information on this form or by any other means.