Insurance AR Specialist
No salary listed
Mid
Bachelor's
Remote in USA
Remote
InsuranceClaims Adjudication
About the job
Requirements
- A high school diploma or equivalent is required.
- At least 3 years of experience in medical collections is required.
- Expertise in insurance policies and regulations related to medical billing, including Medicare and Medicaid, is required.
- Detailed knowledge of billing, Healthcare Common Procedure Coding System, Current Procedural Terminology, and International Classification of Diseases codes is required.
- Ability to work effectively with management and colleagues while demonstrating initiative, mature judgment, and customer-service orientation.
- Effective verbal and written communication, including active listening and presenting findings and recommendations.
- Strong multitasking, organizational, analytical, negotiation, problem-solving, and customer-service skills.
- Proficiency with Microsoft Word, Excel, Outlook, databases, patient billing systems, and other medical information systems.
- Ability to operate various types of office equipment.
- A high degree of professionalism and adaptability is required.
Responsibilities
- Review monthly accounts receivable and follow up with insurers and other parties to resolve outstanding balances.
- Manage assigned payer accounts, including insurance follow-up, research, problem resolution, and claim refiling when necessary.
- Maintain assigned accounts receivable accounts in the 60-or-more-day categories and review explanations of benefits within a two-week turnaround.
- Document accurate collection activity in collection tracking notes.
- Evaluate account status and prioritize collection actions, including letters, phone calls, and staff assistance.
- Contact carriers regarding outstanding balances in a timely manner.
- Telephone, interview, and counsel patients regarding outstanding self-pay balances.
- Respond promptly to telephone and mail inquiries.
- Complete write-off adjustment forms with appropriate supporting documentation and submit them to the supervisor.
- Maintain collection logs for distribution to other teams to identify areas needing attention or correction.
- Advise the supervisor about unusual collection accounts that become delinquent or are in question.
- Prepare daily user reports for supervisor review and filing with appropriate notes and documentation.
- Work with other departments to gather information needed for account work and collection activity.
Desired Qualifications
- A bachelor's degree is preferred.
- Experience in an oncology healthcare setting is preferred.
- Radiation oncology or proton therapy experience is a plus.
- Previous commercial collections experience is preferred.
About the company
OneOncology builds a network of US oncology practices by partnering with community clinics to broaden access to advanced cancer care. It supports partner sites by investing in clinical, operational, and technical capabilities and by providing a shared data analytics and technology platform to improve care and efficiency. Local practice leadership stays in place, preserving continuity and local expertise while gaining access to centralized resources. The goal is to improve patient outcomes in community settings and sustain high-quality, locally led oncology services by coordinating care through a data-driven platform.
Company Size
501-1,000
Company Stage
Acquired
Total Funding
$685M
Headquarters
Nashville, Tennessee
Founded
2018
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Simplify's Take
What believers are saying
- Cencora closed its majority acquisition on February 2, 2026, adding balance-sheet power and distribution leverage.
- Aug. 18, 2026 disease-group expansion and OpenEvidence integration deepen clinical specialization and workflow stickiness.
- OneR delivered 23 ASCO 2025 abstracts, proving research output that attracts practices and patients.
What critics are saying
- Lewis v. OneOncology filed March 31, 2026 and the 401(k) class action hit March 20, 2026.
- Cencora control after February 2026 threatens physician autonomy, accelerating partner defections over the next 12 months.
- If network doctors leave for rival platforms, OneOncology loses referral density and the whole MSO model breaks.
What makes OneOncology unique
- Physician-led network kept local leadership, even after Cencora closed majority control in February 2026.
- OneOncology embedded OpenEvidence across workflows on August 6, 2026, pairing care, evidence, and trials.
- Its 2,300-plus providers treat 1.5 million patients across 20 states, giving rare community scale.
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Benefits
- Remote Work Options