Patient Benefit Representative

US Oncology Network • Beaumont, TX

136d

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 - Business Office at our 3010 Harrison Avenue clinic in Beaumont, Texas. 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 use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve 'More breakthroughs. More victories.' in their fight against cancer.

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 the system.
• Verifies and updates demographics and insurance coverage in the 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