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 our Dallas Presbyterian clinic at 8196 Walnut Hill Drive. Typical work hours are Monday-Friday; 8:30am to 5:00pm. Step into a career with purpose at Texas Oncology - Presbyterian Hospital Dallas, where compassionate care meets clinical excellence. As part of a dynamic, multidisciplinary team in one of Dallas's most trusted medical centers, you'll help deliver advanced, personalized cancer treatment that changes lives. Here, innovation thrives, collaboration is key, and your contributions truly matter-every patient, every day. Our clinic is driven by a mission to provide patient care with a focus on compassion, innovation, and community health. We value teamwork and continuous learning. As a leader, I prioritize open communication and collaboration. I strive to create an environment where you feel empowered to share ideas and take initiative. I'm committed to supporting my team both professionally and personally. This position will be a level 1 or Sr depending on relevant candidate experience.
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.
- Assess 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.
- Completes Patient Cost Estimate form based upon 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.
- 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 system 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 patient records.
- Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested.
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.
