Job description
OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.
Job Description:
The Sr. Accounts Receivable Analyst is an exciting new role that will help practices on the OneOncology platform better manage and monitor their Accounts Receivables (AR). This offering to OneOncology practices will provide our practices with deep insight into their Accounts Receivable both on the patient and insurance side. This will include proactively monitoring practice’s AR, identifying root cause of AR build up (i.e. payer policy changes, payer behavior/system trends, clinical / workflow within practice, etc.) and determine strategies to continue to improve practice AR metrics.
Responsibilities
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Develop AR best practices customized for local markets and payers
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Develop long-term relationships and lead through influence with key resources at a payer to help drive down Practice AR
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Identify and troubleshoot billing and payer issues by analyzing denials, aging AR, payer feedback
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Identify root cause and trends leading AR to age and identify how to proactively address
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Create best practices for resolving patient AR including workflows that can be done pre and post visit to address patient AR build up quicker
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Maintain relationships with key stake holders at our partner practices to better understand payer dynamics and previous history with the payer
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Other duties related to AR resolution at our partner practices
Key Competencies
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Ability to communicate to practice leadership regarding clinical or operational workflows that could be leading to AR issues for certain specialties, payers, etc.
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Strong ability to communicate across all levels of a payer to support AR resolution – including getting in the details of individual claims as well as escalating to more senior resources at the payer
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Solid analytical skills with ability to deep dive into groups of accounts or claims to determine root cause
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Good skills with Excel with the ability to slice and data from the EMR and Practice Management system to gain better insights into AR issues
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Ability to grasp clinical concepts that may be leading to AR build up – i.e. Medical Record requests and rationale by the payer
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Ability to understand patient balances and help partner practices develop strategies to help bring down these balances
Qualifications
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7+ years of experience in community oncology industry and/or similar field leading AR resolution and AR recovery
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Deep understanding of physician practice operations
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Experience with AR escalations including writing 1st and 2nd level appeals and managing payer escalations with payers
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Working knowledge of Billing, Collections, Government Payers, Managed Care Payers, Private, and Third Party Insurances required
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