Patient Benefits Representative

The US Oncology Network•Daphne, AL

3d•Onsite

About The Position

Southern Cancer Center is seeking a compassionate and detail-oriented Patient Benefits Representative to join our Daphne team. This role plays a critical part in helping patients understand their insurance coverage, anticipated costs of care, and available financial assistance—ensuring they feel informed and supported before and during treatment. Position Summary Under general supervision, the Patient Benefits Representative educates patients on insurance coverage and benefits, assesses financial responsibility, and assists with financial assistance resources when needed. This position ensures accurate insurance eligibility, benefit verification, and documentation, while adhering to all compliance, ethics, and privacy standards.

Requirements

High school diploma or equivalent required
Minimum of three (3) years’ experience as a patient pre-services coordinator or in a similar role
Proficiency with computer systems and Microsoft Office (Word and Excel)
Working knowledge of CPT and HCPCS coding
Strong verbal communication skills with the ability to use appropriate medical and insurance terminology
Ability to successfully complete required e-learning courses within 90 days of hire

Responsibilities

Prior to treatment, obtain and verify patient demographics and insurance coverage
Educate patients on insurance benefits, co-pays, deductibles, and out-of-pocket expenses
Assess patients’ ability to meet financial obligations and discuss payment arrangements
Identify financial assistance programs and assist patients with applications as appropriate
Complete Patient Cost Estimate forms based on diagnosis, insurance coverage, and assistance resources
Obtain patient signatures on required reimbursement and liability forms and forward to the billing office
Coordinate with Clinical Reviewers to ensure insurance pre-authorizations and referral approvals are obtained prior to treatment
Review patient account balances and notify the front desk of patients needing financial consultation
Ensure correct co-pay amounts are entered into the system for accurate collection
Verify and update patient demographics and insurance information at each visit in accordance with SOPs
Stay current on available financial aid programs and develop relationships with assistance providers
Maintain strict confidentiality and comply with HIPAA, state, and federal regulations
Maintain manuals, logs, forms, and required documentation
Perform additional duties as assigned