Patient Benefit Rep/Financial Counselor - Southern Hills

The US Oncology Network • Spring Valley, NV

10d • Onsite

About The Position

Comprehensive Cancer Centers of Nevada (CCCN) is seeking a Patient Benefits Representative for their Northwest clinic in Las Vegas, Nevada. This role involves working with physicians and providing patient care within a healthcare organization. The Patient Benefits Representative will educate patients on insurance coverage and benefits, assess their financial ability, and inform them about potential assistance programs. This position also involves updating patient insurance information and adhering to compliance programs and company values.

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.
• Successful candidates will thrive in a fast-paced, rapidly changing environment and have a passion for caring for their patients.

Responsibilities

• Obtain insurance coverage information and demographics prior to patient treatment.
• Educate patients on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess patients' ability to meet expenses and discuss payment arrangements.
• Educate patients on financial assistance programs, identify sources, and assist with completing forms.
• Complete Patient Cost Estimate forms based on diagnosis, estimated insurance coverage, and financial assistance.
• Complete reimbursement and liability forms for patient review and signature.
• Forward appropriate information and forms to the billing office.
• Obtain insurance pre-authorization or referral approval codes from the Clinical Reviewer prior to each treatment.
• Review patient account balance and notify the front desk of patients needing to meet with someone.
• Ensure patient co-pay amounts are correctly entered or conveyed for front desk collection.
• Verify and update patient demographics and insurance coverage in computer systems at each visit.
• Stay current on available financial aid programs and develop professional relationships with financial aid providers.
• Network with financial aid providers to obtain leads to other aid programs.
• Adhere to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records.
• Maintain updated manuals, logs, forms, and documentation.
• Perform additional 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