Insurance Verification Specialist

Overview

The US Oncology Network is looking for an Insurance Verification Specialist to join our team at Texas Oncology! This full time hybrid remote position, working 8 hours per day Monday-Friday, will support our Central Business Office location. This position does require that the candidate lives in the state of Texas.

As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." ® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

What does the Insurance Verification Specialist do?

Under minimal supervision, calls insurance companies to verify benefits. Complete verification forms, review patients current information and message account. Scans completed information back to offices, creates a financial file. Obtains and maintains accurate patient demographics. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

Responsibilities

The essential duties and responsibilities:

• Calls insurance companies to verify benefits of the patient. Completes insurance verification and summary of reimbursement and liability forms.
• Reviews demographic and insurance information in patient accounts and make necessary corrections as needed.
• Notes in each account a brief summary of information received from the insurance company.
• Scans assignment of benefits, verification of benefit information and financial liability and forwards completed information back to the appropriate office. Prepares financial folders of enrollment cards, financial liability forms and demographics and files the information appropriately.
• Enters information into Excel spreadsheet to track accounts received, completed and returned.
• Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.
• Assists in maintaining manuals, logs and other required documentation as required.
• Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
• Follows policies and procedures to contribute to the efficiency of the business office. Covers for and assists with other business office functions as requested.

Qualifications

The ideal candidate for the Insurance Verification will have the following background and experience:

• High school diploma or equivalent required.
• Minimum one year of medical business office experience with insurance procedures and patient interaction.

Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.

Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.