Oncology Patient Benefits Specialist

City of Hope; Austin (TX); On-site; USD 25,000 - 39,000; Full time

Job summary

Texas Oncology in Austin, TX seeks a Patient Benefits Representative for the Revenue Cycle Department. This full-time role educates patients about insurance coverage and benefits, assesses financial ability, and supports assistance programs.

The position requires maintaining up-to-date eligibility and benefits in the system and aligns with compliance standards. The ideal candidate will have strong MS Office skills, CPT/HCPCS knowledge, and the ability to communicate clearly with patients.

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

• Prior to a patient receiving 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 and identify sources.
• Completes forms for reimbursement and liability; forwards information to billing office.
• Obtain insurance pre-authorization or referral approval codes prior to each treatment.
• Review patient account balance and notify front desk for patient meetings.
• Ensure patient co-pay is correctly entered in system and conveyed to front desk.

Skills

Communication

MS Office proficiency

CPT/HCPCS knowledge

Verbal communication

Education

High school diploma or equivalent

Associates degree in Finance or Business (Sr)

Tools

Microsoft Word

Microsoft Excel

EMR systems

Job description

Texas Oncology in Austin, TX seeks a Patient Benefits Representative for the Revenue Cycle Department. This full-time role educates patients about insurance coverage and benefits, assesses financial ability, and supports assistance programs.

The position requires maintaining up-to-date eligibility and benefits in the system and aligns with compliance standards. The ideal candidate will have strong MS Office skills, CPT/HCPCS knowledge, and the ability to communicate clearly with patients.