[Hiring] Insurance Authorization Specialist, Lead @The US Oncology Network

Role Description

The US Oncology Network is looking for an Insurance Authorization Specialist – Team Lead to join our team at Texas Oncology. This full-time remote position will support the Oncology Department at our 4101 James Casey Street #100 clinic in Austin, Texas. Typical work week is Monday through Friday, 8:00a - 5:00p.

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 mission is to 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.

What does the Insurance Authorization Specialist Lead do? (including but not limited to):

• Monitors the revenue cycle workload and reassigns work as necessary to meet deadlines.
• Performs all revenue cycle job responsibilities as needed to meet deadlines.
• Utilizes broad range of knowledge including operating procedures, policies, regulations, and systems.
• Supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.

Qualifications

• High School diploma or equivalent required.
• Associates degree in Finance, Business or four years revenue cycle experience preferred.
• Minimum two (2) years insurance resolution experience resolving issues with patients and payors.
• Four (4) years combined automated medical billing and payment experience required.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.
• Demonstrate knowledge of oncology medical coding required.
• Demonstrate knowledge of medical billing, payment, financial aid, insurance, and payor processes and procedures.
• Demonstrate knowledge of state, federal, and third party claims processing required.
• Demonstrate knowledge of state and federal collections guidelines required.
• Must successfully complete required e-learning courses within 90 days of occupying position.

Requirements

• Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry.
• Demonstrates Adaptability: Handles day to day work challenges confidently; shows resilience in the face of constraints.
• Uses Sound Judgment: Makes timely, cost-effective and sound decisions under conditions of uncertainty.
• Shows Work Commitment: Sets high standards of performance and pursues aggressive goals.
• Commits to Quality: Emphasizes the need to deliver quality products and/or services.

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.

• Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.
• Requires standing and walking for extensive periods of time.
• Occasionally lifts and carries items weighing up to 40 lbs.
• Requires corrected vision and hearing to normal range.

Work Environment

The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations, and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.