Oncology Patient Benefits Specialist

Talentify; Beaumont (TX); On-site; USD 42,000 - 60,000; Full time

Job summary

The US Oncology Network, at Texas Oncology in Beaumont, is seeking a full-time Patient Benefits Representative to educate patients on insurance coverage, benefits, and financial assistance. You will verify demographics, manage pre-authorizations, and support the billing workflow in a high-volume oncology clinic.

Level 1 or Sr level depending on experience; requires a high school diploma and 3+ years in patient pre-services or equivalent, plus proficiency with MS Office and CPT coding knowledge.

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

• Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess patients ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms. Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form.
• Completes appropriate reimbursement and liability forms for patient’s review and signature. Forwards appropriate information and forms to billing office.
• Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.
• Review patient account balance and notify front desk of patients to meet with
• Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately
• At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs).
• Stays current on available financial aide. Develops professional relationships with financial aide providers. Networks with financial aide providers to obtain leads to other aide programs.
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records.
• Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested.
• Other duties as requested or assigned.

Education

High school diploma or equivalent

3+ years pre-services coordinator or equivalent

Proficiency with computer systems and Microsoft Office (Word and Excel)

Knowledge of CPT coding and HCPCS coding

Verbal communication skills

Complete required e-learning within 90 days

Job description

The US Oncology Network, at Texas Oncology in Beaumont, is seeking a full-time Patient Benefits Representative to educate patients on insurance coverage, benefits, and financial assistance. You will verify demographics, manage pre-authorizations, and support the billing workflow in a high-volume oncology clinic.

Level 1 or Sr level depending on experience; requires a high school diploma and 3+ years in patient pre-services or equivalent, plus proficiency with MS Office and CPT coding knowledge.