Patient Benefit Specialist

The US Oncology Network•Merrifield, VA

3d•Onsite

About The Position

Virginia Cancer Specialists, affiliated with McKesson Specialty Health and US Oncology, a leader in cancer care, is seeking an experienced full time Patient Financial Counselor for our Radiation office at our Cancer Center in Fairfax Virginia. This role is responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and co-payments, and obtaining pre-authorization of services. The position also involves obtaining and maintaining accurate patient demographics and supporting the US Oncology Compliance Program.

Requirements

High school diploma or equivalent required.
Minimum three years of medical business office experience with insurance procedures and patient interaction.

Responsibilities

Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.
Performs insurance verification process on all third party payers.
Obtains initial and subsequent pre-authorization for services and surgeries.
Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment.
Ensures appropriate signatures are obtained on all necessary forms.
Utilizes the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required.
Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements.
Documents financial counseling process and forwards to Billing Office.
Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and all appropriate forms filled out.
Collects co-pays, deductible and other out of pocket amounts at time of visit.
Assists in maintaining manuals, logs and other required documentation as required.
Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
Follows policies and procedures to contribute to the efficiency of the front office.
Covers for and assists with other front office functions as requested.