Oncology Patient Benefits Specialist — Access & Support

Texas Oncology; Plano (TX); On-site; USD 40,000 - 55,000; Full time

Job summary

The US Oncology Network's Texas Oncology clinic in Plano, TX is hiring a Patient Benefits Representative. You will educate patients on insurance coverage and benefits, assess financial eligibility, and maintain accurate eligibility records to support the billing process.

Level 1 or Sr depending on experience; you will collaborate with the Radiation and Medical Oncology Departments and adhere to compliance standards while assisting patients with cost estimates and aid programs.

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 proper terminology.
• Must complete required e-learning courses within 90 days of occupying position.

Responsibilities

• Educate patients on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket costs.
• Assess patients' ability to meet expenses and discuss payment arrangements; assist with financial aid sources.
• Complete reimbursement and liability forms for patient review and signature; forward to billing.
• Obtain pre-authorization or referral codes from Clinical Reviewer prior to treatment.
• Review patient balances and coordinate with front desk for collections.
• Verify and update demographics and insurance coverage at each visit per SOPs.
• Stay current on financial aid options and build relationships with aid providers.
• Maintain confidentiality per HIPAA and internal guidelines.

Skills

High school diploma

3 years pre-services coordination

Microsoft Office

CPT/HCPCS coding knowledge

Strong verbal communication

Education

Associates degree in Finance/Business

Tools

Microsoft Office

Job description

The US Oncology Network's Texas Oncology clinic in Plano, TX is hiring a Patient Benefits Representative. You will educate patients on insurance coverage and benefits, assess financial eligibility, and maintain accurate eligibility records to support the billing process.

Level 1 or Sr depending on experience; you will collaborate with the Radiation and Medical Oncology Departments and adhere to compliance standards while assisting patients with cost estimates and aid programs.