Patient Benefits Representative

The US Oncology Network•Newport News, VA

5h•Onsite

About The Position

Virginia Oncology Associates is seeking a full-time, in-person Patient Benefits Representative to support its Newport News location. The role helps patients understand insurance coverage and financial obligations before treatment, including benefits, co-pays, deductibles, and out-of-pocket expenses. It also assists with financial assistance resources, patient cost estimates, required forms, and insurance pre-authorizations or referral approvals. The representative maintains accurate patient records and related documentation while following confidentiality requirements and applicable laws and guidelines. The position requires a high school diploma or equivalent, at least three years of pre-services coordinator experience, proficiency with computer systems and Microsoft Office, knowledge of CPT and HCPS coding applications, and clear verbal communication. Two years of patient benefits experience is preferred. The employee must be willing to travel to clinic locations as needed. Compensation is listed as $22.55–$26.51 per hour. Actual compensation depends on job-related factors such as relevant experience, education, certifications, licensure, and skills. Benefits listed are medical, dental, and vision coverage, life insurance, and a 401(k).

Requirements

High school diploma or equivalent.
At least three years of pre-services coordinator experience.
Proficiency with computer systems and Microsoft Office, including Word and Excel.
Demonstrated knowledge of CPT coding and HCPS coding application.
Ability to communicate clearly verbally and use appropriate, correct terminology.
Willingness to travel to all clinic locations as needed.

Nice To Haves

Two years of patient benefits experience.

Responsibilities

Before treatment, obtain patient insurance coverage information and demographics, and explain insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
Assess patients' ability to meet expenses and discuss payment arrangements.
Educate patients about financial assistance programs, identify assistance sources, and help complete forms.
Complete Patient Cost Estimate forms based on diagnosis, estimated insurance coverage, and financial assistance.
Complete appropriate reimbursement and liability forms for patient review and signature, and forward relevant information and forms to the billing office.
Obtain insurance pre-authorization or referral approval codes before each treatment.
Ensure the patient co-pay amount is entered correctly into the system or conveyed appropriately.
Verify and update patient demographics and insurance coverage in the computer system according to Standard Operating Procedures.
Stay current on available financial assistance, develop professional relationships with financial assistance providers, and network with providers to identify other assistance programs.
Follow confidentiality requirements and applicable state and federal laws and guidelines regarding patient records.
Maintain current manuals, logs, forms, and documentation.
Perform additional duties as requested.