Oncology Patient Benefits Specialist

City of Hope; Bastrop (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

Texas Oncology in Bastrop, TX seeks a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial needs, and coordinate with billing to ensure accurate pre-authorization and cost estimates. The role supports the Oncology network, with focus on patient access to care.

The ideal candidate has prior pre-services experience, strong Excel/Word skills, and the ability to navigate financial assistance programs, while maintaining HIPAA compliance.

Qualifications

• High school diploma required.
• Experience as patient pre-services coordinator preferred.
• Knowledge of CPT/HCPCS coding.
• Ability to educate patients on insurance benefits.
• Completion of required e-learning within 90 days.

Responsibilities

• Obtain insurance coverage information and educate patients on benefits.
• Assess patients’ ability to meet expenses and discuss payment options.
• Prepare reimbursement and liability forms for patient’s review.
• Obtain pre-authorization or referral codes before treatment.
• Review patient account balances and coordinate with front desk.
• Verify demographics and insurance at each visit and update records.
• Stay updated on available financial aid resources.

Skills

Customer service

Insurance education

Communication

EMR systems

CPT/HCPCS coding

Microsoft Office

Education

High school diploma or equivalent

Associate's degree in Finance or Business

Tools

Microsoft Office

Billing software

Job description

Texas Oncology in Bastrop, TX seeks a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial needs, and coordinate with billing to ensure accurate pre-authorization and cost estimates. The role supports the Oncology network, with focus on patient access to care.

The ideal candidate has prior pre-services experience, strong Excel/Word skills, and the ability to navigate financial assistance programs, while maintaining HIPAA compliance.