Accounts Receivable Insurance SpecialistCancer Center of South Florida PLLC • West Palm Beach, FL, US
Accounts Receivable Insurance Specialist
Cancer Center of South Florida PLLC • West Palm Beach, FL, US
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job_description.job_card.job_descriptionHigh school diploma or equivalent required; associate degree in health sciences preferred. Minimum 3–5 years of experience in medical accounts receivable, with oncology / hematology billing preferred. At least 5 years’ experience in private practice accounts receivable. Proficient in medical billing and insurance reimbursement processes, including denial resolution and payer-specific guidelines. Thorough understanding of ICD-10, CPT required and working knowledge of HCPCS and modifiers specific to hematology / oncology treatments preferred. Proficient in using Epic or similar programs.
Job Description
Job Description
Description : POSITION SUMMARY :
The Accounts Receivable Insurance Specialist handles insurance follow-up and account resolution for assigned payors to ensure timely reimbursement. Responsibilities include resolving billing issues, researching discrepancies, and addressing patient inquiries with a focus on service and communication. This role requires expertise in the revenue cycle, medical billing, and oncology-specific reimbursement guidelines.
CORE ESSENTIAL RESPONSIBILITIES :
- Manage accounts receivable for assigned payors by analyzing and resolving denials, appealing rejected claims, and correcting billing discrepancies to ensure timely reimbursement.
- Conduct consistent follow-up with insurance companies and address overdue claims across commercial and government payors.
- Review EOBs to confirm accurate payments and report discrepancies or trends to leadership.
- Maintain detailed documentation of collection efforts and resolution activities in EPIC using standard note format.
- Handle patient billing inquiries, negotiate payment plans, and respond promptly to calls or correspondence.
- Monitor and report credit balances; initiate appropriate refunds and write-offs with supporting documentation.
- Collaborate with internal teams to communicate billing issues, share updates, and support resolution.
- Verify patient insurance eligibility and benefits; understand payer-specific processes, including copays, deductibles, and coinsurance.
- Stay current on oncology coding standards (HCPCS / ICD-10 / CPT) and participate in training and compliance initiatives.
- Support other revenue cycle functions as needed and perform additional duties as assigned.
Requirements :
EDUCATION & EXPERIENCE
KNOWLEDGE, SKILLS OR ABILITIES
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Account Receivable Specialist • West Palm Beach, FL, US