Patient Benefits Rep

The US Oncology Network•Columbia, MO

3d•Onsite

About The Position

Urology Associates of Central Missouri is hiring a Patient Benefits Representative for its Columbia, Missouri location. Under general supervision, this role educates patients about insurance coverage and benefits, assesses their financial ability to meet expenses, and may provide information about financial assistance programs. The representative maintains current patient insurance eligibility, coverage, benefits, demographics, and related documentation in the computer system. The position also supports the US Oncology Compliance Program, including its Code of Ethics, Business Standards, and Shared Values.

Requirements

High school diploma or equivalent.
At least three years of experience as a patient pre-services coordinator or equivalent.
Ability to communicate clearly verbally and use appropriate, correct terminology.
Proficiency with computer systems and Microsoft Office, including Word and Excel.
Ability to complete required e-learning courses within 90 days of occupying the position.

Responsibilities

Before treatment, obtain insurance coverage information and patient demographics; 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 potential sources of assistance, and help patients complete forms when appropriate.
Complete Patient Cost Estimate forms using diagnosis, estimated insurance coverage, and financial assistance information; prepare reimbursement and liability forms for patient review and signature; forward appropriate information and forms to the billing office.
Obtain insurance pre-authorization or referral approval codes from the Clinical Reviewer before each treatment.
Review patient account balances and notify the front desk when a patient needs to meet with a Patient Benefits Representative.
Ensure patient co-pay amounts are entered into the system or communicated so the front desk can collect them accurately.
At each patient visit, verify and update demographics and insurance coverage in the computer system according to standard operating procedures.
Stay informed about available financial assistance, build professional relationships with assistance providers, and network to learn about additional programs.
Follow confidentiality requirements and applicable state and federal laws and guidelines, including HIPAA, regarding patient records.
Maintain current manuals, logs, forms, and documentation.
Complete required e-learning courses within 90 days of occupying the position.
Perform additional duties as requested.