Oncology Patient Benefits Specialist

US Oncology Inc.; Bastrop (TX); Hybrid; USD 40,000 - 60,000; Full time

Job summary

The US Oncology Network’s Texas Oncology clinic in Bastrop, TX seeks a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial needs, and coordinate aid programs. This full-time role supports Oncology and Radiation departments and requires accurate benefits processing and confidentiality.

Level varies by experience; strong computer and Excel skills are essential, with familiarity in CPT/HCPCS coding.

Qualifications

• Education: high school diploma or equivalent required.
• Associates degree in Finance/Business or 4 years revenue cycle experience preferred.
• Knowledge of CPT and HCPCS coding applications required.
• Proficiency with computer systems and Microsoft Office; good verbal communication.

Responsibilities

• Educate patients on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess patients' financial ability and discuss payment arrangements; assist with financial aid programs.
• Update insurance eligibility, coverage, and benefits in the system.
• Obtain pre-authorizations or referrals before treatment.
• Review patient balances and coordinate with front desk for collections.
• Ensure accurate entry of co-pays and patient demographics in the system.
• Maintain confidentiality per HIPAA and company policies.
• Stay current on available financial aid options and provider networks.
• Perform additional duties as requested.

Skills

Communication skills

Customer service

Microsoft Office

CPT/HCPCS coding knowledge

Verbal communication

Education

High school diploma or equivalent

Associates degree in Finance or Business / revenue cycle experience

Job description

The US Oncology Network’s Texas Oncology clinic in Bastrop, TX seeks a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial needs, and coordinate aid programs. This full-time role supports Oncology and Radiation departments and requires accurate benefits processing and confidentiality.

Level varies by experience; strong computer and Excel skills are essential, with familiarity in CPT/HCPCS coding.