Patient Benefits Representative/Financial Counselor - Stephanie

The US Oncology Network • Henderson, NV

3h • Onsite

About The Position

Comprehensive Cancer Centers of Nevada (CCCN) is seeking a Patient Benefits Representative for their Stephanie clinic in Henderson, Nevada. This role involves working with physicians and providing patient care within a healthcare organization that has been at the forefront of cancer treatment for over 50 years. CCCN is dedicated to patient-centered care, advancing innovation, discovery, and improving outcomes, and is looking for motivated, caring professionals to join their team.

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.

Responsibilities

• Prior to a patient receiving treatment, obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assesses patients ability to meet expenses and discusses payment arrangements.
• May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms.
• Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form.
• Completes appropriate reimbursement and liability forms for patients review and signature.
• Forwards appropriate information and forms to billing office.
• Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.
• Review patient account balance and notify front desk of patients to meet with.
• Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately.
• At each patient visit, verifies and updates demographics and insurance coverage in computer systems according to Standard Operating Procedures (SOPs).
• Stays current on available financial aide.
• 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 HIPPA laws and guidelines with regards to patients records.
• Maintains updated manuals, logs, forms, and documentation.
• Performs additional duties as requested.
• Other 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