Insurance Specialist - Refund Coordinator

It may sound cliche, but it is true. A career taking care of cancer patients is a calling for most all of us. It's much more than a job. Each of us has a unique story that brought us to Compass Oncology, but those stories usually share common themes of care, compassion, and commitment. No matter the role each Compass team member serves in, the goal is the same: to provide the best care possible for each and every one of our patients. If this sounds like you, please reach out to us. We can't wait to hear your story.

Medical insurance billing is often complex and complicated, made even more difficult with more complex and complicated diagnoses. Sometime lines of communication get crossed or information is missing from claims, and refunds are requested. Compass Oncology is looking for a new Insurance Specialist - Refund Coordinator to help manage these requests. Using their knowledge of medical billing and coding, this individual will research the accuracy and validity of these request; correcting mistakes that led to the request or processing the refund when applicable. This individual needs to be a strong self-starter that incredibly inquisitive and a positive problem solver.

Employment Type: Full-Time (40 Hours; Monday-Friday)
Location: On-site at our Compass Business Office (Vancouver, Washington)

Salary: $20.75-32.84 Per Hour

**Final offer amounts are determined by a review of the candidate's applicable experience and qualifications, as well as, internal employee equity considerations.

SCOPE: Under general supervision, this role is responsible for ensuring payer credit balances are refunded in a timely manner and in compliance with overpayment timeframe requirements. The position performs refund-related activities, including monitoring delinquent accounts and resolving billing issues, while following standard procedures and pre-established guidelines to complete assigned tasks. The role also supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards, as well as US Oncology's Shared Values.

• Responsible for resolution of credit balances, analyzing and researching all accounts appearing on the Credit Balance Report for a possible refund.
• Reviews reports, researches and resolves issues pertaining to insurance denial
• Research all refund requests from various insurance companies
• Accurately analyze EOBs to determine how payment responsibility is shared between patient and insurance company
• Use knowledge of ICD10/CPT coding to verify insurance information
• Up to date knowledge of Coordination of Benefits
• Capable of meeting 60-day compliance guideline to resolve credit balances.
• Capable of meeting daily deadlines with little supervision
• Works with co-workers to resolve insurance payment and billing errors
• Reviews payment postings for accuracy and to ensure refund balances are current
• Research, gather, and submit electronically all information needed to process refunds
• Assists in research in order to accurately report refunds
• Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records

Education: High School diploma or equivalent required

Experience/Training:

• Minimum (2) years of combined medical billing and payment experience required.
• Familiarity with spreadsheet applications.
• Excellent communication skills including verbal, phone, and written correspondence.
• Strong problem solving and research skills.
• Ability to work in a team environment.
• Knowledge of accounting policies, practice and systems preferred, but not required.
• Demonstrate knowledge of state, federal, and third party claims processing required.
• Demonstrate knowledge of state & federal collections guidelines.

More About The Company
Compass Oncology team brings together leading cancer experts in the fields of surgical, medical and radiation oncology, pathology and palliative care to provide the most comprehensive cancer care possible and an even more cohesive patient experience. In addition, the majority of our physicians specialize in particular cancer types, bringing a heightened level of expertise to our patients. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity where you are proud of what you do, work hard, have fun, want to learn and go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you!

As a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. We serve the Portland and Vancouver communities with clinical offices located throughout the metro area.

To learn more about Compass Oncology and its daily mission, please visit our website at https://compassoncology.com/

Our Benefits:

When you feel supported, both from a health and financial wellness perspective, you have the energy and motivation to make good things happen - whether it is caring for patients, caring for yourself and your family, or giving back to your community. That's why Compass Oncology offers a full suite of competitive benefits that support your physical, mental and financial well-being. From health and wellness programs, to retirement education and plans, we give you the tools to make great choices for your health and financial wellbeing now and in the future.

For benefit-eligible employees who work 20 hours or greater, we proudly offer the following:

• Medical , Dental, Vision, Life and Disability
• HSA and Flexible Spending Accounts
• Critical Illness, Hospital, and Legal Plans
• PTO and Holiday Plans
• Retirement Savings Plans
• Robust Wellness Program and Incentives
• EAP
• Perks
• Jeans Fridays!

For more details: Compass Employee Benefits

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

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 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. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment.