Patient Benefit Representative

US Oncology Network • Pasadena, TX

142d

About The Position

The US Oncology Network is looking for a Patient Benefits Representative to join our team at Texas Oncology. This full-time position will support the Revenue Cycle Department at our 4000 Spencer Hwy #200 clinic in Pasadena, Texas. Typical work week is Monday through Friday, 8:00a - 5:00p. This position will be a level 1 or Sr depending on relevant candidate experience. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas. Our mission is to deliver high-quality, evidence-based cancer care to help our patients achieve 'More breakthroughs. More victories.' in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

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.
• Demonstrate 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

• Associates degree in Finance, Business or four years revenue cycle experience preferred.
• Minimum three (3) years pre-services coordinator experience and two (2) years of patient benefits experience required.
• Must be able to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology.

Responsibilities

• Obtains insurance coverage information and demographics prior to a patient receiving treatment.
• Educates patients on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assesses patients' ability to meet expenses and discusses payment arrangements.
• Educates patients on financial assistance programs and provides assistance with completing forms.
• Completes Patient Cost Estimate form based on diagnosis, estimated insurance coverage, and financial assistance.
• Completes appropriate reimbursement and liability forms for patient's review and signature.
• Forwards appropriate information and forms to billing office.
• Obtains insurance pre-authorization or referral approval codes prior to each treatment from Clinical Reviewer.
• Reviews patient account balance and notifies front desk of patients to meet with.
• Ensures that patient co-pay amount is correctly entered into system.
• Verifies and updates demographics and insurance coverage in computer system at each patient visit.
• Stays current on available financial aide and 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 HIPAA laws and guidelines regarding patient records.
• Maintains updated manuals, logs, forms, and documentation.
• Performs additional duties as requested.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED