Accounts Receivable Insurance Specialist

Summary

Cancer Center of South Florida is seeking an Accounts Receivable Insurance Specialist to manage insurance follow-up and account resolution for assigned payors. The role focuses on resolving billing issues, researching discrepancies, handling patient inquiries, and supporting timely reimbursement within the medical and oncology revenue cycle.

Responsibilities

• Manage accounts receivable for assigned payors by analyzing and resolving denials, appealing rejected claims, and correcting billing discrepancies to ensure timely reimbursement
• Conduct consistent follow-up with insurance companies and address overdue claims across commercial and government payors
• Review EOBs to confirm accurate payments and report discrepancies or trends to leadership
• Maintain detailed documentation of collection efforts and resolution activities in EPIC using standard note format
• Handle patient billing inquiries, negotiate payment plans, and respond promptly to calls or correspondence
• Monitor and report credit balances; initiate appropriate refunds and write-offs with supporting documentation
• Collaborate with internal teams to communicate billing issues, share updates, and support resolution
• Verify patient insurance eligibility and benefits; understand payer-specific processes, including copays, deductibles, and coinsurance
• Stay current on oncology coding standards (HCPCS/ICD-10/CPT) and participate in training and compliance initiatives
• Support other revenue cycle functions as needed and perform additional duties as assigned

Skills

• High school diploma or equivalent required
• Minimum 3–5 years of experience in medical accounts receivable
• At least 5 years' experience in private practice accounts receivable
• Proficient in medical billing and insurance reimbursement processes, including denial resolution and payer-specific guidelines
• Thorough understanding of ICD-10, CPT required
• Proficient in using Epic or similar programs
• Associate degree in health sciences preferred
• With oncology/hematology billing preferred
• Working knowledge of HCPCS and modifiers specific to hematology/oncology treatments preferred

Qualifications

Must Haves

• High school diploma or equivalent required
• Minimum 3–5 years of experience in medical accounts receivable
• At least 5 years' experience in private practice accounts receivable
• Proficient in medical billing and insurance reimbursement processes, including denial resolution and payer-specific guidelines
• Thorough understanding of ICD-10, CPT required
• Proficient in using Epic or similar programs

Nice to Haves

• associate degree in health sciences preferred
• with oncology/hematology billing preferred
• working knowledge of HCPCS and modifiers specific to hematology/oncology treatments preferred