Insurance Specialist

Insurance Specialist

Join RCCA as an Insurance Specialist - Make a Meaningful Impact Every Day. Are you detail-oriented, driven, and passionate about making a difference in healthcare? RCCA is looking for an Insurance Specialist to help ensure our patients receive the care they need without financial barriers. In this vital role, you'll be at the heart of our revenue cycle operations, helping maintain accurate and timely account resolutions.

Employment Type : Full Time

Location : Teaneck, NJ (remote position)

Compensation : $19.50 - $26.29 per hour

Compensation packages based on your unique skills, experience, and qualifications.

As of the date of this posting, RCCA offers a comprehensive benefits package for this position, subject to eligibility requirements. In addition to the salary, we provide : Health, dental, and vision plans, Wellness program, Health savings account - Flexible spending accounts, 401(k) retirement plan, Life insurance, Short-term disability insurance, Long-term disability insurance, Employee Assistance Program (EAP), Paid Time Off (PTO) and holiday pay, Tuition discounts with numerous universities.

We believe these benefits underscore our commitment to the well-being and professional growth of our employees.

Responsibilities :

• Monitors delinquent accounts and performs collection duties
• Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, and resubmits claim to payer
• Reviews payment postings for accuracy and to ensure account balances are current
• Works with co-workers to resolve payment and billing errors
• Monitors and updates delinquent accounts status
• Recommends accounts for collection or write-off
• Verifies existing patients have necessary referral and / or authorization documentation prior to examination date
• Contacts and follows up with patient's physician for any missing or incomplete documentation
• Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations
• Answers patient payment, billing, and insurance questions and resolves complaints
• May refer patients to Patient Benefits Representative to set up payment plans
• Contacts third party payors to resolve payor issues, expedite claim processing, and maximize medical claim reimbursement
• Maintains credit balances of patients and payors ensuring timely refunds within government guidelines / regulations
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regard to patient records
• Performs other duties as requested or assigned

Qualifications :

Competencies :

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Work Environment :

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.