Oncology Patient Benefits Navigator

Us Oncology Inc; Bastrop (TX); On-site; USD 38,000 - 48,000; Full time

Job summary

The US Oncology Network is hiring a Patient Benefits Representative to join Texas Oncology in Bastrop, TX. This full-time role supports Oncology and Radiation departments, with a Monday–Friday, 8:30 a.m. to 5:00 p.m. schedule.

The position may be Level 1 or Sr depending on experience. Responsibilities include educating patients on insurance coverage, determining financial needs, and assisting with forms and pre-authorizations, while upholding HIPAA and compliance standards.

Qualifications

• High school diploma or equivalent required.
• Associates degree in Finance, Business or four years revenue cycle experience preferred.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.
• Demonstrate knowledge of CPT coding and HCPCS coding application.
• Must be able to verbally communicate clearly and utilize the appropriate terminology.
• Must successfully complete required e-learning courses within 90 days of occupying position.

Responsibilities

• Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess patients ability to meet expenses and discusses payment arrangements; educate patients on financial assistance programs and assist with completing forms.
• Completes reimbursement and liability forms for patient review; forwards information to billing office.
• Obtain insurance pre-authorization or referral approval codes from Clinical Reviewer prior to each treatment.
• Review patient account balance and notify front desk of patients to meet with.
• Ensure that patient co-pay amount is correctly entered into system; convey to front desk to collect.
• Verify and update demographics and insurance coverage at each patient visit per SOPs.
• Stay current on available financial aide; build relationships with financial aid providers.
• Adheres to confidentiality, state, federal, and HIPAA laws and guidelines.
• Maintains updated manuals, logs, forms, and documentation; performs additional duties.
• Other duties as requested or assigned.

Skills

Microsoft Office

CPT coding

HCPCS coding

Verbal communication

Education

Associate degree in Finance or Business

Tools

Billing systems

Job description

The US Oncology Network is hiring a Patient Benefits Representative to join Texas Oncology in Bastrop, TX. This full-time role supports Oncology and Radiation departments, with a Monday–Friday, 8:30 a.m. to 5:00 p.m. schedule.

The position may be Level 1 or Sr depending on experience. Responsibilities include educating patients on insurance coverage, determining financial needs, and assisting with forms and pre-authorizations, while upholding HIPAA and compliance standards.