Patient Service Representative

The US Oncology Network•Cedar Park, TX

1d•Onsite

About The Position

The US Oncology Network/Texas Breast Specialists is looking for a Patient Services Representative to join their Breast Surgery team, supporting the Texas Breast Specialists Cedar Park and Georgetown locations. This role offers the opportunity to collaborate with a team of highly qualified breast surgeons and compassionate staff, providing exceptional patient care to individuals facing breast disease. As part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care close to home, aiming to make significant impacts on patients' lives in a supportive and dynamic environment. The US Oncology Network is a large network of community-based oncology physicians dedicated to advancing cancer care, supported by McKesson Corporation. The Patient Services Representative performs general business office functions including billing, claim submissions, charge capture, payment posting, insurance verification, pre-authorization, patient counseling on financial matters, and account follow-up. They may also assist patients with community resources like housing, transportation, and financial support, while adhering to the US Oncology Compliance Program.

Requirements

High School Diploma or equivalent required.
0-3 years of medical business office experience (for Level 1).
Minimum 3 to 5 years medical business office experience (for Level 2).
Minimum five years medical business office experience (for Sr Level).

Nice To Haves

Medical office scheduling experience preferred.

Responsibilities

Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system accurately and timely. Registers patients in the system as necessary.
Collects and reviews all patient insurance information and completes insurance forms. Collects co-pays, deductibles, and other out-of-pocket amounts at the time of visit.
Confirms patient insurance verification and eligibility. Obtains pre-authorization of services and/or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co-pays, and financial obligations.
Posts line items and adjustments to patient accounts. Balances receipts, reconciles daily work batches, and prepares an audit trail. Prepares deposits for the bank as needed.
Reviews Explanation of Benefits (EOB) for consistency.
Submits files and processes all claims for payment. Researches and resolves claim delay issues.
Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary. Resubmits claims and processes all insurance/patient correspondence. Provides all documentation to expedite payment.
Follows up on assigned accounts. Uses collection techniques to keep accounts current, including monitoring for delinquent payments.
Sets up financial arrangements with patients as necessary.
Assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources.