Patient Benefit Rep

TEKsystems•Annapolis, MD

6d•$18 - $22•Onsite

About The Position

We are seeking a detail-oriented and patient-focused Patient Benefit Representative to support a busy oncology practice environment. In this role, you will educate patients on their insurance coverage, evaluate financial responsibility, and assist with navigating financial aid programs. This position is ideal for someone who is compassionate, organized, and experienced in healthcare benefits and insurance verification.

Requirements

High school diploma or equivalent required.
Minimum three (3) years of experience in patient pre-services, patient benefits, or similar healthcare financial coordination.
Proficiency in Microsoft Office (Word and Excel) and experience with healthcare computer systems.
Working knowledge of CPT and HCPCS coding.
Strong verbal communication skills with the ability to explain financial and insurance terminology clearly.
Ability to complete required e-learning coursework within 90 days of hire.

Nice To Haves

Experience with EMR systems.
Prior work in oncology, specialty medicine, or high-volume medical practices.
Strong understanding of insurance plans, coverage types, and reimbursement processes.

Responsibilities

Obtain and verify insurance coverage information and patient demographics prior to treatment.
Educate patients on their insurance benefits, including coverage details, co-pays, deductibles, coinsurance, and out-of-pocket expenses.
Assess patients’ ability to meet financial obligations and discuss payment arrangements when needed.
Explain available financial assistance programs and assist patients in completing required forms.
Work with Clinical Reviewers to obtain insurance pre-authorizations and referral approval codes prior to treatment.
Complete Patient Cost Estimate forms based on diagnosis, expected coverage, and assistance eligibility.
Prepare and submit reimbursement and liability forms for patient review and signature.
Forward completed documentation and authorizations to the billing office accurately and promptly.
Review outstanding patient balances and notify appropriate front desk staff when a patient needs financial consultation.
Ensure correct co-pay amounts are entered into the system to support accurate collection at check-in.
Verify and update insurance information and demographic details in the system at each visit, following Standard Operating Procedures (SOPs).
Stay current on all available financial assistance programs and maintain strong professional relationships with aid providers.
Network with financial aid organizations to identify new assistance resources for patients.
Maintain confidentiality and adhere to all HIPAA, state, and federal guidelines.
Keep all manuals, logs, forms, and financial documentation up-to-date.
Provide exceptional service as a liaison between patients, payers, and clinical staff.
Perform additional administrative tasks or patient-related duties as requested by leadership.