Medical Insurance Specialist

Medical Insurance Specialist

Full-Time | Onsite | Monday-Friday (8:00-4:30 or 8:30-5:00)

$22.87-$28.60 an hour. The actual hiring rate may vary based on several factors, including your previous work experience, educational background, the responsibilities of the position, and demonstrated performance. These elements help us ensure a fair and competitive offer aligned with your qualifications and the role's requirements.

Be the Difference Behind Exceptional Patient Care

When patients are focused on fighting cancer, they deserve a team working behind the scenes to ensure billing, insurance, and financial matters are handled accurately and compassionately. At Shenandoah Oncology, our Medical Insurance Specialists play a critical role in helping patients access the care they need while supporting a seamless revenue cycle process.

We're looking for an experienced, detail-oriented professional who thrives on problem-solving, enjoys working with insurance companies, and takes pride in delivering excellent service to patients and teammates alike.

Why Shenandoah Oncology?

At Shenandoah Oncology, you'll join a respected, mission-driven practice where every team member contributes to improving the lives of patients and families in our community. Guided by The RETIC Way-Respect, Excellence, Teamwork, Integrity, and Compassion-we foster a collaborative culture where employees are valued, supported, and encouraged to grow.

Benefits and Perks

• Medical, Dental & Vision Insurance
• 401(k) with Employer Match
• Generous Paid Time Off & Paid Holidays
• Life & Disability Insurance
• Tuition Reimbursement
• Employee Assistance Program
• Wellness Programs & Employee Discounts
• Professional Development Opportunities

• Work accounts receivable, denials, and unpaid claims to secure timely reimbursement.
• Research and resolve insurance payment discrepancies and billing issues.
• Submit appeals and supporting documentation when appropriate.
• Contact patients regarding balances and assist with billing-related questions.
• Maintain accurate account information, documentation, and payment records.
• Process refunds and credit balances in accordance with regulatory requirements.
• Collaborate with internal teams to resolve payment and billing concerns.
• Ensure compliance with HIPAA, payer guidelines, and regulatory standards.

• High school diploma or equivalent.
• Minimum two (2) years of medical revenue cycle experience, including billing, accounts receivable, and denial management.
• Working knowledge of commercial, government, and third-party payer claims processing.
• Knowledge of state and federal collection guidelines.
• Strong analytical, problem-solving, and organizational skills.
• Excellent customer service and communication abilities.
• Ability to manage multiple priorities while maintaining a high level of accuracy.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to manipulate a computer keyboard and mouse. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be offered to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to blood, toxic substances, ionizing radiation and other conditions common to a clinic environment.