"You can make a difference in the life of an oncology patient and find your career satisfaction by joining our team of healthcare professionals today."
About Oncology Consultants
Oncology Consultants has been a premier adult medical oncology & hematology practice in Houston, TX, for over 35 years. Our healthcare team is committed to providing state-of-the-art cancer treatment in a caring environment as we expand our oncology services in the Memorial City location.
About the Position:
Responsible for the accurate flow of information and data between physicians, patients, and third-party payers. Under general supervision, perform reimbursement activities while maintaining high accuracy and efficiency.
Shift Schedule:
Benefits:
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Relocate and save rounds from “h” to “x” drive that are more than 48 hours old
Retrieve patient census from hospital web portals to use for updating rounds
Call every hospital daily to verify patients’ hospital status and room number
Edit rounds daily by adding and removing patients
Create next day rounds daily; Create Saturday and Sunday rounds on Friday; Create Monday’s rounds after Monday morning physicians meeting
Email daily rounds to physicians and designated staff
Email weekend rounds to on call physicians and nurses
Friday’s prepare reports by printing each physician’s individual weekly schedule and Sunday’s rounds for Monday morning meeting; take it to MCO conference room
Attend Monday morning meeting for patients update from weekend hospital rounds
Access hospital web portals to retrieve patient documents ex: factsheets, dictations, surgery reports
Fax request to hospital medical records staff that does not have internet access
Verify patients’ information from factsheet is correct
Verify patients’ insurance via internet or by phone
Enter patient demographics into Nextgen
Email physicians for any missing information that is required to enter charges
Verify and review all charges submitted by physicians are correct
Verify correct diagnosis submitted by physician
Obtain referral or authorizations for admissions
Hands-on knowledge of CPT, ICD-10 coding, HCPCS, revenue codes and terminology for hospital billing
Compare procedure reports to procedure charges submitted by physician
Hold incorrect charges until suggested corrected charges are approved by physician
Enter hospital charges daily
Notify management for any discrepancies or issues
All job functions must be completed with a minimum number of errors
Convert physician notes into diagnosis using ICD-10 book
Convert physician procedure notes into correct CPT codes
If physician notes do not match ICD-10 book, use other resources
Payment Posting
Retrieve, generate and save EOBs (4010 & PDF) from payor websites.
Create batch in NextGen to post for each day of deposit
Posting from bank reports daily and live/refund/NSF Checks
Enter status and reason codes if applicable for each line item
Email collectors and cc supervisors/managers for denials
Email Patient A/R Collector(s) for any patient balance of $500 or more
Balance NextGen total to the bank daily report and print batch listing report
Post Zero Payment EOBs
Post Write-Offs per Supervisor and/or Manager approval
Prepare live checks for deposit
Patient A/R Clean up
Corrections
Turn in balance batch to bookkeeper
Notify revenue cycle manager and revenue cycle specialist of fee schedule discrepancies and/or trends
Completing mid-month and end of the month deadline
Correct Balance Control Issues
All job functions must be completed with a minimum number of errors
Performs other duties as assigned
Assists with special projects as needed
Understand and adhere to policies and procedures
Accept and incorporate changes or new ideas into daily work
Provide service in a responsive, timely and accurate manner to both clients and colleagues
Cooperate with team members to accomplish departmental goals
Interact professionally with clients and fellow employees
Post patient payments for assigned locations
Post Insurance payments for assigned payers
ADDITIONAL DUTIES AND RESPONSIBILITIES:
Performs other duties as assigned
Assists with special projects as needed
Understand and adhere to policies and procedures
Accept and incorporate changes or new ideas into daily work
Provide service in a responsive, timely and accurate manner to both clients and follow employees
Cooperate with team members to accomplish departmental goals
Interact professionally with clients and fellow employees
QUALIFICATION REQUIREMENTS:
Knowledge of insurance payment processing
Accuracy and speed in 10-Key and typing
Ability to read and interpret EOB
Excellent attention to detail
Ability to perform routine mathematical calculations
Ability to maintain confidentiality
Ability to operate personal computer and CRT
Ability to maintain accuracy
Ability to approach problems/decisions analytically
Ability to work under stressful and fast-paced conditions
Ability to manage multiple tasks independently
Ability to operate personal computer with various software programs, including Excel and Microsoft Word
Recognize priorities and take action; make productive use of time
Strive to resolve problems and conflicts on his/her own initiative
Attempt to create new ideas or new procedures working as part of a group or individually
Demonstrated service and success in teamwork and consistent high productivity and quality
LANGUAGE SKILLS:
Verbal and written communication skills
Oncology Consultants is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
PHYSICAL DEMANDS: Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.
COMMENTS: This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.
Medical Center | Memorial City | Sugar Land | Katy | Willowbrook | Southwest Northwest | West Houston
Apply today. Our short application process takes less than 5 minutes with your phone, tablet or computer.