Patient Services Representative

The US Oncology Network•Bastrop, TX

4h•Onsite

About The Position

The US Oncology Network is looking for a Patient Services Representative to join the team at Texas Oncology. This full-time position will support the Bastrop location, operating Monday-Friday from 8:30am-5pm with no weekends, call, or major holidays. The role can be a Level 1, 2, or Sr based on candidate experience. Texas Oncology is deeply committed to delivering exceptional care to patients and their caregivers, fostering a supportive and welcoming workplace. Teams are equipped for success through clear processes, thorough training, and open communication. As part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care, being the largest community oncology provider in the country with approximately 530 providers in 280+ sites across Texas. Their mission is to make the best available cancer care accessible to all communities. The US Oncology Network, supported by McKesson Corporation, focuses on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. The Patient Services Representative performs general business office functions including billing and claim submissions, charge capture, payment posting, insurance verification and eligibility, obtaining pre-authorization, counseling patients on insurance and payment issues, and account follow-up and payment resolution. They also assist patients and families with obtaining community resources such as 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 Level Sr).

Responsibilities

Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner.
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 audit trail.
Prepares deposits for 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.
As necessary, assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources.