Patient Support Representative- Radiology

The US Oncology Network•Nashville, TN

About The Position

SCRI Oncology Partners is a cancer treatment practice in Nashville, Tennessee, led by oncologists with expertise in cancer care and clinical research. The practice provides personalized cancer care and clinical trial opportunities through its affiliation with Sarah Cannon Research Institute. Under general supervision, the Patient Support Representative performs general business office functions. These may include billing and claim submissions, charge capture and payment posting, insurance verification and eligibility, obtaining pre-authorizations, advising patients and families about insurance and payment issues, and account follow-up and payment resolution. When needed, the representative helps patients and families find community resources such as housing, transportation, and financial support. The role supports and adheres to the US Oncology Compliance Program, including its Code of Ethics and Business Standards. The position involves frequent interaction with patients and staff. The employee regularly sits and uses their hands to handle or feel objects; occasionally stands, walks, reaches, and lifts or moves up to 30 pounds. Vision and hearing must be corrected to normal ranges, with reasonable accommodations available to enable individuals with disabilities to perform essential functions.

Requirements

High school diploma or equivalent.
Three to five years of medical business office experience.

Responsibilities

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