Insurance AR Specialist Position Available In Davidson, Tennessee

Insurance AR Specialist OneOncology – 2.6

Nashville, TN Job Details Full-time Estimated:

$41K – $48.2K a year 2 hours ago Qualifications Revenue cycle management Mid-level Patient service High school diploma or GED Certified Professional Coder Certified Coding Specialist Organizational skills Medical terminology 2 years Full Job Description OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. 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, 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 community oncologists and the patients they serve.

Job Description:

The Insurance AR Specialist will report to OneOncology’s Manager, RCM . This role will be responsible for completing coding related denial management for outstanding claims. The Coding AR Specialist will also help develop appeal templates for common coding related denials. Additional responsibilities include identifying and preparing patient and insurance refunds, completing necessary claim corrections, reviewing claims for any necessary adjustments, as well as assist with inbound phone calls to the department. Responsibilities Research and resolve outstanding claim denials in a timely manner. Follow up on outstanding AR within a timely manner. Write appeal letters and include supporting documentation when needed. Complete necessary claim corrections, reconsiderations, and/or appeals for outstanding claims. Prepare all necessary documentation required for patient and/or insurance refunds and overpayments identified. Identify trends in incorrect coding and work with management to provide necessary feedback to the coding team. Complies with all applicable guidelines including but not limited to NCCI guidelines, NCDs, LCDs, payor guidelines, and all other coding related guidance. Monitors payor guidelines for updates to policies. Answers inbound phone calls related to outstanding AR. Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer. Qualifications High school diploma or equivalent required CPC or CCS certification required Minimum of 2 years healthcare administration or revenue cycle management experience Knowledge of insurance and medical terminology Experience with EMR/practice management systems (eClinical Works preferred) and payor websites Excellent patient service skills Excellent organizational skills and attention to detail Regular and timely attendance To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. #LI-HD1