Business Office Specialist

Overview

Do you enjoy finding solutions and getting into the details? Do you enjoy working in a fast paced environment? Are you positive and compassionate towards others? If yes, then Cancer Partners of Nebraska is the place for you. Since 1997, we have been serving the Lincoln community and beyond focusing on personalized treatment plans. We offer comprehensive cancer and urologic care under one roof for patient convenience and support.

Cancer Partners of Nebraska (CPN) is seeking a full-time Business Office Patient Financial Specialist to help carry out it's mission of providing outstanding patient care. This role is responsible for accounts receivable functions. Also, performs all procedures for assigned accounts including insurance verification, claims processing, denial management, resolution of insurer payment discrepancies and initial patient collections.

Key Duties and Responsibilities:

Patient Insurance and Data Verification:

• Manage insurance verification tasks for the designated population
• Enter complete, accurate patient financial data as needed
• Ensure insurance information is updated in Registration Overlay and EHR, including but not limited to allocation set
• Identify under-insured and uninsured patients; refer to Benefits Coordinators / Patient Advocate Group for follow up and potential payment arrangements

Patient Insurance Claim Filing and Follow-Up:

• Follows up with insurance carriers on unpaid/denied claims
• Completes and files reconsideration requests to carriers for additional documentation or corrections; prepares medical appeals
• Maintains knowledge of payer policies to assure optimal reimbursement for all professional services performed in compliance with government and third party payer regulations
• Processes and distributes copies of billings according to clinic policies
• Reviews credit balances and completes refund request
• Answers the telephone to provide customer service and information as requested

Patient Balances and Self Pay Clients:

• Analyze patient balances to ensure accuracy for Self-Pay Clients
• Obtain timely payment from patient or other responsible party; Processes patient payments
• Identify under-insured and uninsured patients; work closely with Benefit Coordinator to follow-up and potential payment arrangements
• Contacts responsible party to resolve delinquent accounts
• Prepares payment plans and monitors adherence to the plan as set up between client / responsible party and Cancer Partners
• Review deceased patient accounts and file Estate Notices and claims as necessary. Conduct all necessary follow-up
• Reviews patient credit balances and processes any refund requests
• Communicate client financial hardship to necessary organization team members
• Assist with copay card follow-up and claim processing

Education and Training:

• High School Diploma
• Prefer some post-secondary education
• Training or working knowledge of billing, insurance and collections as it relates to a medical office

Experience:

Minimum of two years' experience working in a medical office with billing and collection, or an equivalent combination of education and/or experience

Knowledge:

• Understanding of insurance coverage
• Knowledge of and appreciation for a teamwork concept relating to clinic policies and procedures to administer patient care as it relates to Business Services
• Knowledge of customer service concepts and techniques
• Thorough knowledge of HIPAA, OSHA and other regulatory policies
• Knowledge of collection policies and state regulations as it relates to collections

Skills:

• Computer keyboarding skills; working knowledge of Microsoft Office
• Skill in customer service, communications, problem-solving, organization and confidentiality (HIPAA)
• Skill in identifying problems and recommending solutions
• Skill in use of scanner, fax and copier

Abilities:

• Ability to multi-task and work independently
• Ability to organize time and achieve prescribed results by deadlines
• Ability to act in a professional and positive manner when interacting with patients
• Ability to react calmly and effectively in stressful situations
• Ability to communicate clearly and effectively in person, in writing and on the phone
• Ability to establish/maintain effective, cooperative relationships with physicians, staff, patients, families and other customers

Schedule:

• Day shift
• Monday to Friday
• No nights or weekends

Benefits:

• 401(k)
• 401(k) matching
• Health insurance
• Health savings account
• Dental insurance
• Disability insurance
• Vision insurance
• Life insurance
• Employee assistance program
• Paid time off
• Tuition reimbursement

Working Conditions and Physical Demands

• Requires sitting and standing associated with normal office environment
• May involve walking up and down stairs to meet with patient as required
• Requires close visual acuity including viewing computer terminal. Extensive reading and reviewing of paperwork
• Requires spending large amounts of time talking on the telephone
• Must be able to receive and interpret oral communications accurately to draw valid conclusion regarding insurance coverage and patient financial situations
• Occasional stress related to workload and patients with problems
• Office/clinic setting

CPN is an equal opportunity employer.