Oncology Patient Benefits Specialist – Financial Support

US Oncology Inc.; Austin (TX); On-site; USD 42,000 - 60,000; Full time

Job summary

The US Oncology Network is seeking a Patient Benefits Representative to join Texas Oncology in Austin. This full-time role supports the Breast Surgery Department, focusing on patient education about insurance coverage and benefits, and coordinating financial assistance as needed.

Responsibilities include collecting demographics, obtaining pre-authorization codes, updating patient records, and maintaining compliance with privacy and billing standards.

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

• 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.
• 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.
• 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 SOPs.
• Stays current on available financial aide. Develops professional relationships with financial aide providers.
• 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

Microsoft Office

Verbal communication

CPT/HCPCS coding

Pre-services coordination

Education

High school diploma or equivalent

Associates degree in Finance or Business

Revenue cycle experience

Job description

The US Oncology Network is seeking a Patient Benefits Representative to join Texas Oncology in Austin. This full-time role supports the Breast Surgery Department, focusing on patient education about insurance coverage and benefits, and coordinating financial assistance as needed.

Responsibilities include collecting demographics, obtaining pre-authorization codes, updating patient records, and maintaining compliance with privacy and billing standards.