Oncology Patient Benefits Specialist

US Oncology Network-wide Career Opportunities; Austin (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

The US Oncology Network seeks a Patient Benefits Representative to join the Breast Surgery Department in Austin, TX. This full-time role educates patients on insurance coverage and benefits, assesses financial need, and supports billing with cost estimates and eligibility updates.

Level 1 or Sr based on experience; you will work under supervision, coordinating with clinical and billing teams to ensure accurate coverage and timely referrals in a community oncology setting.

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 terminology.
• Must successfully complete required e-learning courses within 90 days of occupying position.

Responsibilities

• Before 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 review; forward information to billing.
• Obtain insurance pre-authorization or referral codes prior to each treatment from Clinical Reviewer.
• Review patient balances and notify front desk of patients to meet with.
• Ensure correct entry of patient co-pays in the system for proper collection.
• Verify/update demographics and insurance coverage during each visit.
• Stay current on financial aide; build relationships with aide providers; obtain leads to other programs.
• Maintain confidentiality per HIPAA and company policies.
• Perform additional duties as requested.
• Other duties as assigned.

Skills

Microsoft Office (Word, Excel)

HCPCS/CPT coding knowledge

Verbal communication

Education

High school diploma or equivalent

Associate degree in Finance or Business

Job description

The US Oncology Network seeks a Patient Benefits Representative to join the Breast Surgery Department in Austin, TX. This full-time role educates patients on insurance coverage and benefits, assesses financial need, and supports billing with cost estimates and eligibility updates.

Level 1 or Sr based on experience; you will work under supervision, coordinating with clinical and billing teams to ensure accurate coverage and timely referrals in a community oncology setting.