Patient Benefits Representative

The US Oncology Network•St. Paul, MN

1d•$21 - $29

About The Position

MINNESOTA ONCOLOGY Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? We offer a competitive benefits package that includes - Medical Dental Vision Life Insurance Generous Paid Time Off (PTO) Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards you practicing a healthy lifestyle Tuition Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources SCOPE: Under general supervision, responsible for educating patient on insurance coverage and benefits. Assess patients financial ability; may educate patient on assistance programs. Updates and maintains existing patient new insurance eligibility, coverage, and benefits in system. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values. 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. Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form. 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's records. Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested. Other duties as requested or assigned. SALARY LEVEL: $21.00-$29.00/hour

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.

Responsibilities

Educating patient on insurance coverage and benefits.
Assess patients financial ability; may educate patient on assistance programs.
Updates and maintains existing patient new insurance eligibility, coverage, and benefits in system.
Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values.
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.
Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form.
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
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's records.
Maintains updated manuals, logs, forms, and documentation.
Performs additional duties as requested.
Other duties as requested or assigned.

Benefits

Medical
Dental
Vision
Life Insurance
Generous Paid Time Off (PTO)
Free Short-term and Long-term Disability Coverage
401k plan with company contribution
Wellness program that rewards you practicing a healthy lifestyle
Tuition Reimbursement
Employee Assistance Program and Discount Program to some of your favorite retailers
Free Parking
Career Growth and Development
Supportive Team and Resources