Oncology Consultants Jobs Page

Medical Collector Level 1- Memorial City

Employment: Collections

Type: Full Time

Location: Houston, TX

"You can make a difference in the life of an oncology patient and find your career satisfaction by joining our team of healthcare professionals today."

About Oncology Consultants

Oncology Consultants has been a premier adult medical oncology & hematology practice in Houston, TX for over 35 years. Our healthcare team is committed to provide state of the art cancer treatment in a caring environment as we continue to expand our oncology services in the metropolitan region. 

About the Position

The individual performs complex collections tasks and insurance claim denial research to ensure timely account resolution. Applies pre-established guidelines to perform the various collections tasks, insurance claim denial research using multiple tools and other high-level detailed account resolution activities. Tasks include but not limited to research, collections of unpaid and denied insurance claims.  The collector may also be required to submit secondary claims and appeals. However, they will be required to work in different areas as needs dictate. Works under general supervision and may provide task/project.

 

 

 

Shift Schedule:

  • Mon - Fri: 8am - 5pm

Benefits:

  • Insurances: Life, medical, dental, short term and long term disability
  • 401K
  • Free parking
  • PTO
  • Holidays 
  • Competitive salary

Essential Duties and Responsibilities:

  • Handles non-complex payers (ex. Traditional Medicare & Medicaid)
  • Research unpaid and denied claims to facilitate the processing and receipt of payment.
  • Submits letters of appeal on denied insurance claims 
  • Monitors claims for missing information Interacts with staff and manager to research and resolve complex problems/issues.
  • Maintains confidentiality of all information in accordance with HIPPA
  • Completes additional projects as assigned
  • Recommends changes to improve efficiency and effectiveness
  • Maintains monthly 35% resolution rate goal set in place by management
  • Work daily task for all carriers assigned to that position (not started then those in progress) est. 35-40 accounts a day
  • Remain knowledgeable of all changes and updates to applicable assigned carriers (LCD’s, code deletion or additions, ins. policies related to Oncology) notifying supervisor as changes occur
  • Completes refund request reviews
  • Resolve problem accounts
  • Prepares for weekly collector meetings
  • Takes necessary adjustments
  • Communicate with other staff, primarily front office and financial counselor, contracting, posters, patients, and physicians as needed
  • Works special projects as requested
  • Webinars and system training participation 
  • Completes reviews of correspondence from incoming faxes, mail, and emails within 48 hours of receipt

 

ADDITIONAL DUTIES AND RESPONSIBILITIES:

 

Include but not limited to mailing paper claims, faxing, copying, scanning, making calls, spreadsheets, verifying benefits and researching incorrect patient information

 

EDUCATION and/or EXPERIENCE:

  • Minimum of 2 years of experience.
  • Organized, self-sufficient, hardworking, analytical and detailed orientated.
  • Extensive experience with managed care and Medicare.
  • Proficient knowledge of medical terminology, CPT, ICD-9 and HCPCS coding.
  • Strong math skills and the ability to reconcile & balance patient accounts vs. EOB's
  • Experience in electronic billing and/or paper claims submission.
  • Ability to explain medical necessity based on the patient's written medical documentation.
  • Skilled at claims follow-up, data entry, 10-Key Calculator and customer service.
  • Experience with Microsoft Office and Outlook.
  • Experience in Centricity A+.
  • Oncology, Radiology and Radiation experience A+.

LANGUAGE SKILLS:

  • Verbal and written communication skills

Oncology Consultants is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

PHYSICAL DEMANDS: Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.

COMMENTS: This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.

Medical Center | Memorial City | Sugar Land | Katy | Willowbrook | Southwest Northwest | West Houston

Apply today. Our short application process takes less than 5 minutes with your phone, tablet or computer.