Patient Service Rep - Senior

The US Oncology Network•Austin, TX

About The Position

The US Oncology Network is seeking a Patient Services Representative for Texas Oncology in Austin, Texas. This is a full-time position with a typical Monday through Friday schedule from 8:30 a.m. to 5:00 p.m. The role supports patient registration, insurance verification and billing, payment collection, claims processing, account follow-up, and assistance connecting patients with community resources. The position involves frequent interaction with patients and staff.

Requirements

High school diploma or equivalent.
For the Senior level, at least five years of medical business office experience.
Ability to perform the physical demands of the role, including regularly sitting and using hands to finger, handle, or feel; occasionally standing, walking, reaching, and lifting or moving up to 30 pounds.
Vision and hearing corrected to normal ranges.

Responsibilities

Obtain and accurately enter patient insurance, demographic, and eligibility information; register patients as needed.
Collect and review patient insurance information and complete insurance forms.
Collect co-pays, deductibles, and other out-of-pocket amounts at the time of the visit.
Verify insurance coverage and eligibility, obtain service pre-authorizations or referrals, assess financial requirements, and explain benefits and financial obligations to patients and families.
Post account line items and adjustments, balance receipts, reconcile daily work batches, prepare audit trails, and prepare bank deposits as needed.
Review explanations of benefits for consistency.
Submit files and process claims for payment; research and resolve claim delays.
Address patient questions and complaints about insurance billing, adjust accounts as needed, resubmit claims, process correspondence, and provide documentation to expedite payment.
Follow up on assigned accounts and use collection techniques to monitor delinquent payments and keep accounts current.
Set up financial arrangements with patients as needed.
Help patients research and obtain community resources, including housing, transportation, medications and pharmaceutical supplies, and financial resources.