Accounts Receivable Spec - Insurance Follow Up

Job Details: Job Location: 1650 Republic Pkwy Ste 130, Mesquite, TX 75150

• Mesquite, TX, Salary Range: Undisclosed, Position: Oncology Accounts Receivable Specialist Department: Central Billing Office Reports To: Oncology Billing Manager / Revenue Cycle Manager Location: Urology Clinics of North Texas Position Summary: The Oncology Accounts Specialist is responsible for managing and resolving insurance and patient receivables for the Oncology service line. This role requires strong knowledge of oncology billing, office-administered medications, infusion cycles, and chemotherapy regimen cycles. The specialist will ensure timely follow-up on claims, accurate posting of adjustments, and effective patient communication regarding financial responsibilities.

Key Responsibilities

Prioritize daily tasks and utilize tasking tools to manage workflow. Follow up on all oncology claims from billing through final resolution. Identify and correct billing errors; resubmit claims to insurance carriers as needed. Review insurance Explanation of Benefits (EOB) and initiate appeals when necessary. Respond to payer requests for additional documentation or information.

Post account adjustments based on written communication from third parties (e.g., contractual adjustments). Communicate with patients regarding account balances, collect payments, and establish payment plans. Monitor weekly patient schedules, coordinate with front desk on payment arrangements. Update patient records with correct billing information and manage returned mail.

Handle inbound calls from insurance carriers and patients regarding billing inquiries. Perform other duties as assigned. Required Qualifications: High school diploma or equivalent; additional medical or business education preferred. Previous experience in Urology/Oncology, including office-administered medications and infusion services.

Strong knowledge of medical terminology, insurance plans, claims, and billing processes. Experience with medical collections and oncology coding is a plus. Ability to manage multiple tasks, prioritize, and maintain attention to detail.

Qualifications

Required Qualifications: High school diploma or equivalent; additional medical or business education preferred. Previous experience in Urology/Oncology, including office-administered medications and infusion services. Strong knowledge of medical terminology, insurance plans, claims, and billing processes. Experience with medical collections and oncology coding is a plus.

Ability to manage multiple tasks, prioritize, and maintain attention to detail.