Oncology Patient Benefits Specialist

US Oncology Inc.; Houston (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

US Oncology Inc. is seeking a Patient Benefits Representative to join the Revenue Cycle team at Texas Oncology in Houston.

This full-time role involves educating patients about insurance coverage, assessing financial ability, and guiding them through assistance programs. Responsibilities include collecting insurance information, obtaining pre-authorizations, updating eligibility in the system, and coordinating with front desk to ensure correct billing and patient assistance; level 1 or Sr based

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; educates on financial assistance programs and identify sources; completes Patient Cost Estimate form.
• Completes reimbursement and liability forms for patient's review and signature; forwards information to billing office.
• Obtain insurance pre-authorization or referral approval codes prior to each treatment.
• Review patient account balance and notify front desk to meet with
• Ensure patient co-pay is correctly entered into system for collection
• Verify and update demographics and insurance coverage at each visit
• Stay current on financial aide; develop relationships with providers
• Maintain confidentiality and comply with HIPAA
• Performs additional duties as requested.

Skills

Customer service

MS Office

CPT/HCPCS coding knowledge

HIPAA compliance

Communication

Education

High school diploma or equivalent

Associates degree in Finance or Business (Sr level)

Tools

Electronic Medical Records (EMR)

Billing software

Job description

US Oncology Inc. is seeking a Patient Benefits Representative to join the Revenue Cycle team at Texas Oncology in Houston.

This full-time role involves educating patients about insurance coverage, assessing financial ability, and guiding them through assistance programs. Responsibilities include collecting insurance information, obtaining pre-authorizations, updating eligibility in the system, and coordinating with front desk to ensure correct billing and patient assistance; level 1 or Sr based