Oncology Patient Benefits Specialist

Texas Oncology; Amarillo (TX); On-site; USD 36,000 - 60,000; Full time

Job summary

Texas Oncology is seeking a Patient Benefits Representative to support the Medical Oncology Department at our Amarillo clinic. This full-time role focuses on educating patients about insurance coverage and benefits, assessing financial ability, and guiding them to available assistance programs.

The position requires strong computer skills, familiarity with CPT/HCPCS coding, and timely completion of required training.

Qualifications

• High school diploma or equivalent required.
• Minimum three (3) years patient pre-services coordinator or equivalent required.
• 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 and correct terminology.
• Must successfully complete required e-learning courses within 90 days of occupying position.

Responsibilities

• Before a patient receives treatment; obtain insurance coverage information and demographics; educate patient on coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess patients ability to meet expenses and discuss payment arrangements; educate on financial assistance programs; complete Patient Cost Estimate form.
• Complete reimbursement and liability forms for patient’s review and signature; forward to billing office.
• Obtain pre-authorization or referral approval codes from Clinical Reviewer prior to treatment.
• Review patient account balance and notify front desk of patients to meet with.
• Ensure patient co-pay amount is correctly entered into system, or conveyed for front desk collection.
• At each patient visit, verify and update demographics and insurance coverage in system per SOPs.
• Stay current on available financial aide; build relationships with financial aid providers; obtain leads to other aide programs.
• Maintain confidentiality per HIPAA; keep manuals/logs/forms updated; perform additional duties as requested.
• Other duties as requested or assigned.

Skills

High school diploma

3 years pre-services coordinator exp

MS Office proficiency

CPT/HCPCS knowledge

Clear verbal communication

Complete e-learning within 90 days

Education

Associate degree in Finance/Business

3+ years pre-services coordinator experience

2 years patient benefits experience

Job description

Texas Oncology is seeking a Patient Benefits Representative to support the Medical Oncology Department at our Amarillo clinic. This full-time role focuses on educating patients about insurance coverage and benefits, assessing financial ability, and guiding them to available assistance programs.

The position requires strong computer skills, familiarity with CPT/HCPCS coding, and timely completion of required training.