Oncology Patient Benefits Specialist

Talentify; Harker Heights (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

The US Oncology Network, including Texas Oncology, is seeking a Patient Benefits Representative to support the Medical Oncology Department in Harker Heights, TX. This full-time role calls for strong coordination of benefits, patient education on coverage and costs, and collaboration with the billing team.

Ideal candidates have a high school diploma, 3+ years coordinating patient pre-services, and proficiency with Microsoft Office; Sr level adds an associate degree or revenue-cycle experience.

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

• Before patient 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 and assist with forms; complete Patient Cost Estimate form.
• Prepare reimbursement and liability forms for patient review; forward information to billing office.
• Obtain insurance pre-authorization or referral codes from Clinical Reviewer prior to treatment.
• Review patient balances and notify front desk of patients to meet with; ensure accurate co-pay entry.
• Verify/update demographics and insurance coverage at each visit per SOPs; maintain confidentiality.
• Stay current on financial aid options; network with aid providers for leads.
• Adhere to confidentiality and HIPAA laws; maintain documentation.
• Perform additional duties as requested.
• Other duties as assigned.

Skills

High school diploma or equivalent

3 years patient pre-services

Microsoft Office proficiency

CPT/HCPCS coding knowledge

Clear verbal communication

Complete e-learning within 90 days

Education

High school diploma

Associate degree or 4 years revenue cycle experience (preferred)

Job description

The US Oncology Network, including Texas Oncology, is seeking a Patient Benefits Representative to support the Medical Oncology Department in Harker Heights, TX. This full-time role calls for strong coordination of benefits, patient education on coverage and costs, and collaboration with the billing team.

Ideal candidates have a high school diploma, 3+ years coordinating patient pre-services, and proficiency with Microsoft Office; Sr level adds an associate degree or revenue-cycle experience.