Sr. accounts receivable representative

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. 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, urology, 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 independent physicians and the patients they serve.

Job Description:

Role Summary:

The Sr. Accounts Receivable is responsible for the timely and accurate processing of health insurance claims with various insurance companies. This role will also work with Accounts Receivable representatives to help resolve issues while providing leadership and guidance.

Responsibilities:

• Leads a team of Accounts Receivable representatives and proactively assists in the management their performance and development.
• Manage day-to-day problem-solving while serving as an expert on medical claim matters.
• Responsible for assisting the A/R Manager with successfully maintaining a properly functioning revenue cycle for third party A/R.
• Assists in suggesting revisions to policies and procedures to assure that everyone within the department adheres to the high standards of regulatory compliance and excellent customer service.
• Assists in hiring qualified team members serving as a catalyst and mentor for motivating productivity, innovation, high employee morale and commitment to the organization.
• Research authorizations, work with providers, and manage pended claims in a timely manner.
• Maintain a solid balance of health insurance claims that are < 35 average days outstanding.
• Identify non-payment trends or procedural roadblocks and report same to Supervisor as needed.
• Prepare special claim projects; maintains project work/communication logs, uses resources effectively, arrange information and files in a useful manner and meets project deadlines.
• Compose and prepare documentation for appeals.
• Process insurance carrier correspondence in a timely and professional manner.
• Keep current on carrier’s web sites for information that relates to the practice.
• Perform other office duties as assigned by manager.
• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Required or Preferred Qualifications:

• Minimum High School Diploma or GED required.
• Minimum of seven (7) years Accounts Receivable follow up experience.
• Certified Coding Certification preferred.
• Familiarity with medical billing software.

Essential Competencies:

• Proficient knowledge of Medical Terminology; ICD-9 and CPT-4 Codes.
• Proficiency with Microsoft Excel and Word.
• Accurate and efficient data entry skills.
• Excellent customer service skills.
• Strong written and verbal communication skills.
• Proficient computer software and database skills.
• Strong attention to detail.
• Ability to multi-task and work in a fast paced environment.
• Attendance is an essential job function.