Oncology Patient Benefits Specialist

UNAVAILABLE; Sugar Land (TX); On-site; USD 38,000 - 52,000; Full time

Job summary

The US Oncology Network’s Texas Oncology Sugarland clinic is seeking a Patient Benefits Representative to help patients navigate insurance coverage and financial assistance. This full-time role supports the Medical/Surgical/Radiation Oncology Department at 1350 First Colony Blvd in Sugarland, Texas, with a Monday–Friday schedule and 8:30am–5:00pm hours.

The ideal candidate will educate patients on benefits, assess financial need, and maintain accurate insurance eligibility in the system.

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 HCPS 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.
• Associates degree in Finance or Business or four years revenue cycle experience preferred.

Responsibilities

• Before a patient receives treatment, obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assesses 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 to billing office.
• Responsible for obtaining pre-authorization or referral approval codes from the Clinical Reviewer prior to each treatment.
• Reviews patient account balance and notifies front desk of patients to meet with.
• Ensures patient co-pay amount is correctly entered into system (or conveyed) to front desk.
• At each patient visit, verifies and updates demographics and insurance coverage in the system.
• Stays current on available financial aid; develops relationships with financial aid providers; networks to obtain leads to other programs.
• Adheres to confidentiality, HIPAA laws and guidelines with regards to patient records.
• Maintains updated manuals, logs, forms, and documentation; performs additional duties as requested.
• Other duties as requested or assigned.

Skills

Microsoft Office

CPT coding

Verbal communication

e-learning

Education

High school diploma or equivalent

Associate degree in Finance or Business

Job description

The US Oncology Network’s Texas Oncology Sugarland clinic is seeking a Patient Benefits Representative to help patients navigate insurance coverage and financial assistance. This full-time role supports the Medical/Surgical/Radiation Oncology Department at 1350 First Colony Blvd in Sugarland, Texas, with a Monday–Friday schedule and 8:30am–5:00pm hours.

The ideal candidate will educate patients on benefits, assess financial need, and maintain accurate insurance eligibility in the system.