Insurance Specialist

Join to apply for the Insurance Specialist role at The US Oncology Network
.

Be among the first 25 applicants. The position is full time, located in Hackensack, NJ, with compensation ranging from $19.50 to $26.29 per hour.

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? This role helps ensure our patients receive the care they need without financial barriers and is at the heart of our revenue cycle operations.

Benefits include health, dental, vision plans, a wellness program, health savings account, flexible spending accounts, 401(k), life insurance, short‑term and long‑term disability insurance, employee assistance program, paid time off, holiday pay, and tuition discounts.

• Employment Type:
  
  Full Time
• Location:
  
  Hackensack, NJ
• Compensation: $19.50 - $26.29 per hour (packages based on skills, experience, qualifications)

• Monitors delinquent accounts and performs collection duties.
• Reviews reports, identifies denied claims, researches and resolves issues, performs detailed reconciliation of accounts, and resubmits claims to payer.
• Reviews payment postings for accuracy and ensures 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 patients’ physicians 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.
• Might 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 and regulations.
• Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records.
• Performs other duties as requested or assigned.

• High School diploma or equivalent required.
• Minimum four (4) years combined medical billing and payment experience required.
• Demonstrated knowledge of medical coding, preferably oncology coding.
• Demonstrated knowledge of state, federal, and third‑party claims processing required.
• Demonstrated knowledge of state & federal collections guidelines.
• Must successfully complete required e‑learning courses within 90 days of occupying the position.

• Uses technical and functional experience.
• Possesses up‑to‑date knowledge of the profession and industry.
• Accesses and uses resources when appropriate.
• Demonstrates adaptability and handles daily work challenges confidently.
• Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change.
• Shows resilience in the face of constraints, frustrations, or adversity.
• Demonstrates flexibility.
• Demonstrates positive interpersonal relations with employees, supervisors, physicians, patients, and outside contacts.
• Uses sound judgment, making timely, cost‑effective decisions under uncertainty.
• Shows work commitment, sets high standards of performance, pursues aggressive goals, and works efficiently to achieve them.
• Commits to quality, emphasizing delivery of quality products and services, defining standards, managing quality, and improving efficiencies.

The role requires presence at the employee site during scheduled business hours; regular sitting or standing, talking or hearing; full range of body motion including handling and lifting patients; manual and finger dexterity; eye‑hand coordination; standing and walking for extensive periods; occasional lifting of items up to 40 lbs; and corrected vision and hearing to normal range.

Work may involve exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations, and other conditions typical of an oncology/hematology clinic. In‑person interaction with co‑workers, management, and clients is common, with occasional minimal travel by automobile.

• Mid‑Senior level

• Other
• Industries:
  Hospitals and Health Care