Oncology Patient Benefits Specialist

US Oncology Inc.; Chesapeake (VA); On-site; USD 47,000 - 55,000; Full time

Benefits offered by this job

Health benefits

Life Insurance

401(k)

Job summary

Virginia Oncology Associates in Chesapeake is seeking a Patient Benefits Representative to support our cancer care team. This full-time, in-person role focuses on collecting insurance information, educating patients on coverage and costs, and guiding financial assistance processes.

The position requires a high school diploma, 3 years pre-services coordination experience, and knowledge of CPT/HCPCS coding. Travel to clinic locations may be required, with benefits including medical dental vision

Qualifications

• High school diploma or equivalent required.
• Minimum three years pre-services coordinator experience required and two years of patient benefits experience preferred.
• Proficiency with computer systems and Microsoft Office (Word and Excel)
• Demonstrated knowledge of CPT coding and HCPCS coding application.
• Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.
• Must be willing to travel to all clinic locations as needed.

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; inform about financial assistance programs and sources.
• Complete Patient Cost Estimate form based on diagnosis, insurance coverage, and financial assistance; forward forms to billing.
• Obtain insurance pre-authorization or referral approval codes prior to each treatment.
• Ensure patient co-pay is correctly entered into the system (or conveyed).
• Verify and update demographics and insurance coverage in the computer system per SOPs.
• Stay current on available financial aid; build relationships with financial aid providers and obtain leads.
• Adhere to confidentiality, HIPAA laws and guidelines for patient records.
• Maintain updated manuals, logs, forms, and documentation; perform additional duties as requested.

Skills

Verbal communication

CPT coding knowledge

HCPCS coding knowledge

Microsoft Office

Education

High school diploma or equivalent

Tools

Microsoft Office (Word, Excel)

Job description

Virginia Oncology Associates in Chesapeake is seeking a Patient Benefits Representative to support our cancer care team. This full-time, in-person role focuses on collecting insurance information, educating patients on coverage and costs, and guiding financial assistance processes.

The position requires a high school diploma, 3 years pre-services coordination experience, and knowledge of CPT/HCPCS coding. Travel to clinic locations may be required, with benefits including medical dental vision