Oncology Patient Benefits Specialist

Texas Oncology; Plano (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

Texas Oncology, part of The US Oncology Network, is seeking a Patient Benefits Representative to join the Medical Oncology Department at our Plano clinic. This full-time role supports patients' insurance coverage, benefits, and financial assistance processes, ensuring accurate information is entered into the system and patient interactions remain compassionate and compliant.

The position offers standard work hours Monday–Friday, 8:30 a.m.

Qualifications

• High school diploma or equivalent required.
• Minimum three (3) years patient pre-services coordinator or equivalent.
• 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 and correct 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.

Skills

Clear communication

E-learning

Computer proficiency

CPT/HCPCS knowledge

Education

High school diploma or equivalent

Associates degree in Finance or Business

Tools

Microsoft Office (Word, Excel)

Job description

Texas Oncology, part of The US Oncology Network, is seeking a Patient Benefits Representative to join the Medical Oncology Department at our Plano clinic. This full-time role supports patients' insurance coverage, benefits, and financial assistance processes, ensuring accurate information is entered into the system and patient interactions remain compassionate and compliant.

The position offers standard work hours Monday–Friday, 8:30 a.m.