Patient Collections Representative

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. 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, urology, 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 independent physicians and the patients they serve.

Job Description:

As a Patient Collections Representative, you play a crucial role in our healthcare organization by ensuring the timely and accurate collection of patient balances. Your primary responsibilities include engaging with patients to address billing inquiries, verifying contractual payments, and implementing payment plans. Your expertise in medical billing and collections, coupled with strong administrative skills, will contribute to the financial health of our organization.

Responsibilities:

• Lead the detailed and nuanced cross-program menu management for OneR pilot sites inclusive of all tumor types and phases including analysis of current and future state menu gaps, assessment of the benefits and drawbacks of competing trials and high-level strategizing around menu development

• Serve as an expert on the sites to which they are assigned including their physician leaders’ scientific interests, their operational capabilities, patient populations, and the dynamic gaps within their portfolios

• Work closely with physician leaders and research staff at their sites to either solely manage the site- level leads review process or help to support that process, depending on site need

• Lead the scientific leads review process at the network level in collaboration with other program management team members including interpreting study information, creating detailed study slides, formally presenting the studies to the OneR network leaders for their review, and answering questions about studies

• Serve as disease-specific leaders within the institution, including attending sponsor calls to learn about new products and upcoming studies, understanding all the study offerings in a given disease, interpreting the disease landscape in terms of potential competing study offerings, the approved treatment options, and the unmet needs of specific patient subpopulations

• Lead responses to inquiries around research menu offerings and study availability from physician and research leaders

• Lead meeting planning and facilitation to discuss sites’ research menus (status of studies in start-up, enrollment status)

• Lead answering external stakeholder questions around OneR processes and sites and proactively engaging sponsors to generate new study opportunities for the network

• Lead the facilitation and planning of pipeline meetings and conference sponsor engagement strategies

• Collaborate with healthcare providers, study coordinators, and principal investigators on all aspects of the Program Manager role

• Connect with patients to address outstanding balances and resolve billing inquiries promptly.

• Verify contractual payments on accounts and skillfully process payment plans.

• Effectively follow up on self-pay balances through targeted work lists, including Pre-collection, budget, and hardship cases.

• Maintain the accuracy of our patient database by entering and editing data related to registration, insurance, charges, payments, adjustments, and electronic/paper billing.

• Collaborate with the Pre-Certification department to process Notice of Procedures.

• Take on additional office duties as assigned by the manager.

• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Required or Preferred Qualifications:

• Minimum High School Diploma or GED required.

• Minimum of five (5) years of experience in Medical Billing and insurance claim filing.

• Collections experience is preferred, and familiarity with medical billing software is a definite plus.

Essential Competencies:

• Current knowledge of acceptable and appropriate clinical practice, quality assurance, and patient management and care.

• Demonstrated ability to work independently and as an effective healthcare team member.

• Demonstrate proficient knowledge of Medical Terminology, ICD, and CPT Codes.

• Attendance is an essential job function.

This job description does not contain a full listing of activities, duties or responsibilities required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.

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