Oncology Patient Benefits Specialist

The US Oncology Network; Plano (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

The US Oncology Network’s Texas Oncology clinic in Plano is seeking a Patient Benefits Representative to support Radiation and Medical Oncology. This full-time role emphasizes educating patients on insurance coverage, assisting with financial aid, and maintaining accurate eligibility information in the system.

The position offers a team-oriented environment, opportunities for growth, and collaboration with the Compliance Program and Shared Values.

Qualifications

• High school diploma 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.
• Associate degree in Finance, Business or four years revenue cycle experience preferred.
• Minimum three (3) years pre-services coordinator experience and two (2) years of patient benefits experience required.

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 and identify sources and provide assistance with completing forms.
• 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).
• At each patient visit, verifies and updates demographics and insurance coverage in computer system according to SOPs.
• Stays current on available financial aid. Develops relationships with financial aid providers.
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient records.
• Maintains updated manuals, logs, forms, and documentation.
• Other duties as requested or assigned.

Skills

Microsoft Office

CPT coding

HCPCS coding

Communication

Education

High school diploma

Associate degree or revenue cycle experience (preferred)

Job description

The US Oncology Network’s Texas Oncology clinic in Plano is seeking a Patient Benefits Representative to support Radiation and Medical Oncology. This full-time role emphasizes educating patients on insurance coverage, assisting with financial aid, and maintaining accurate eligibility information in the system.

The position offers a team-oriented environment, opportunities for growth, and collaboration with the Compliance Program and Shared Values.