Insurance Specialist

Willamette Valley Cancer Institute is seeking an Insurance Specialist to join their Revenue Cycle team. This role involves navigating the complexities of cancer care billing to ensure insurance companies reimburse for stated coverage and patients’ out-of-pocket costs are minimized.

About the role

An ideal candidate is comfortable on the phone, has experience with insurance companies, EOBs, managing insurance denial processes, and medical terminology. Experience in accounts receivable (AR) and insurance follow-up is highly preferred. This position advocates for patients while resolving billing and insurance issues.

Responsibilities

• Reviews reports, researches, and resolves issues pertaining to insurance denials.
• Works with co-workers to resolve insurance payment and billing errors.
• Reviews payment postings for accuracy and ensures account balances are current.
• Accurately analyzes EOBs to determine payment responsibility between patient and insurance company.
• Monitors and updates delinquent accounts status.
• Recommends accounts for collection or write-off.
• Contacts patients to verify 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.
• Assists in research to accurately report refunds.
• Adheres to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records.
• Performs other duties as requested or assigned.

Requirements

• High School diploma or equivalent required.
• Minimum two (2) years combined medical billing and payment experience required.
• 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.

Pay

The general salary range for this position is $21.00 - $34.00 per hour. The actual hiring rate depends on factors such as prior work experience, education, job responsibilities, location, work performance, and internal equity.

Schedule

Full-time, 40 hours per week (1.0 FTE).

Benefits

• Medical, dental, and vision insurance.
• Life insurance.
• 401(k) retirement plan.

Location

Eugene, OR.

Physical Demands

The physical demands described are representative of those required to successfully perform the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform these functions.

• Regularly required to sit and use hands to manipulate a computer keyboard and mouse.
• Occasionally required to stand, walk, and reach with hands and arms.
• Occasionally required to lift and/or move up to 30 pounds.
• Requires vision and hearing corrected to normal ranges.

Work Environment

The work environment characteristics described are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform these functions.

• Work is performed in an office environment with frequent contact with staff.
• Involves regular direct contact with patients, with potential exposure to blood, toxic substances, ionizing radiation, and other conditions common to a clinic environment.