Patient Benefits Representative

The US Oncology Network•Virginia Beach, VA

1d•Onsite

About The Position

Virginia Oncology Associates is seeking a full-time, in-person Patient Benefits Representative to support its Virginia Beach location. The representative helps patients understand their insurance coverage and anticipated treatment costs, coordinates pre-authorizations and referrals, and assists patients with payment arrangements and financial assistance. The role also maintains accurate patient information and documentation and follows applicable confidentiality and regulatory requirements. The position may require travel to other clinic locations as needed.

Requirements

High school diploma or equivalent.
At least three years of pre-services coordinator experience.
Proficiency with computer systems and Microsoft 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.
Ability to meet the physical demands described for the position, with reasonable accommodations where applicable.

Nice To Haves

Two years of patient benefits experience preferred.

Responsibilities

Obtain patients’ insurance coverage information and demographics before treatment, and explain 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 patients complete 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, and forward appropriate information and forms to the billing office.
Obtain insurance pre-authorization or referral approval codes before each treatment.
Ensure patient co-pay amounts are entered into or conveyed to the system correctly.
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 assistance providers, and network to obtain leads to other assistance programs.
Protect patient records and comply with confidentiality requirements and applicable state and federal laws and guidelines.
Maintain updated manuals, logs, forms, and documentation.
Perform additional duties as requested.
Travel to clinic locations as needed.
Meet the position’s physical demands, including sitting or standing, speaking and hearing, handling and lifting patients, extensive standing and walking, and occasionally lifting and carrying items weighing up to 40 pounds.