Patient Benefit Rep/Financial Counselor - Northwest

The US Oncology Network • Henderson, NV

10d • Onsite

About The Position

Comprehensive Cancer Centers of Nevada (CCCN) has an exciting opportunity for a Patient Benefits Representative at our Northwest clinic in Las Vegas, Nevada. In this role, you will work with some of the best physicians in their fields while providing care for patients in a successful healthcare organization. CCCN has provided patients with groundbreaking treatments on the healing edge of medicine for over 50 years. Our team provides the most effective treatments, both existing and emerging, to diagnose and successfully treat cancer and blood disorders. We support this goal with state-of-the-art facilities across Southern Nevada, all of which integrate the latest diagnostic, therapeutic, and research capabilities. CCCN is dedicated to patient-centered care, advancing innovation, discovery, and improving outcomes. Motivated, caring professionals are encouraged to join us.

Requirements

• High school diploma or equivalent required
• Minimum three (3) years patient pre-services coordinator or equivalent required
• Proficiency with computer systems and Microsoft Office (Word and Excel) required
• Demonstrates knowledge of CPT coding and HCPS coding application
• Must be able to verbally communicate clearly and utilize the appropriate and correct terminology
• Must successfully complete required e-learning courses within 90 days of occupying position.

Nice To Haves

• Uses Technical and Functional Experience: Possesses up-to-date knowledge of the profession and industry; is regarded as an expert in the technical/functional area; accesses and uses other expert resources when appropriate.
• Demonstrates Adaptability: Handles day-to-day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change; shows resilience in the face of constraints, frustrations, or adversity; demonstrates flexibility.
• Uses Sound Judgment: Makes timely, cost-effective, and sound decisions; makes decisions under conditions of uncertainty.
• Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
• Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and services against those standards; manages quality; improves efficiencies.

Responsibilities

• Prior to a patient receiving treatment, obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess patients ability to meet expenses and discusses payment arrangements.
• May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms.
• Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form.
• Completes appropriate reimbursement and liability forms for patients review and signature.
• Forwards appropriate information and forms to billing office.
• Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.
• Review patient account balance and notify front desk of patients to meet with.
• Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately.
• At each patient visit, verifies and updates demographics and insurance coverage in computer systems according to Standard Operating Procedures (SOPs).
• Stays current on available financial aide.
• Develops professional relationships with financial aide providers.
• Networks with financial aide providers to obtain leads to other aide programs.
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patients records.
• Maintains updated manuals, logs, forms, and documentation.
• Performs additional duties as requested.
• Other duties as requested or assigned.

Benefits

• excellent benefits
• a team environment
• professional development
• the chance to be part of a nationwide network dedicated to fighting the war against cancer

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED