Oncology Patient Benefits Specialist (In-Person)

City of Hope; Chesapeake (VA); On-site; USD 64,615,000 - 75,961,000; Full time

Benefits offered by this job

M/D/V

Life Ins.

401(k)

Job summary

Virginia Oncology Associates is seeking a Patient Benefits Representative for our Chesapeake location. This role focuses on collecting insurance details, explaining coverage and costs, and assisting patients with financial options.

The position requires a high school diploma, 3+ years in pre-services coordination, 2+ years in patient benefits, and proficiency with MS Office. Travel to clinics may be required; HIPAA compliance is essential.

Qualifications

• High school diploma or equivalent required.
• Minimum three (3) years pre-services coordinator experience required and two (2) years of patient benefits experience preferred.
• Proficiency with computer systems and Microsoft Office (Word and Excel).
• Demonstrated knowledge of CPT coding and HCPCS coding application.
• Must be able to verbally communicate clearly and utilize the appropriate terminology.
• Must be willing to travel to all clinic locations as needed.

Responsibilities

• Obtain insurance coverage information and demographics; educate patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess patients’ ability to meet expenses and discuss payment arrangements; inform on financial assistance programs.
• Complete Patient Cost Estimate form based on diagnosis and insurance coverage; forward forms to billing.
• Obtain insurance pre-authorization or referral approval codes before each treatment.
• Ensure patient co-pay is correctly entered into the system or conveyed.
• Verify and update demographics and insurance coverage per SOPs.
• Stay current on financial aide options and build relationships with financial aide providers.
• Maintain confidentiality and adhere to HIPAA laws; keep manuals and forms updated.

Skills

MS Office

CPT/HCPCS coding

Verbal communication

Travel flexibility

Education

High school diploma or equivalent

Job description

Virginia Oncology Associates is seeking a Patient Benefits Representative for our Chesapeake location. This role focuses on collecting insurance details, explaining coverage and costs, and assisting patients with financial options.

The position requires a high school diploma, 3+ years in pre-services coordination, 2+ years in patient benefits, and proficiency with MS Office. Travel to clinics may be required; HIPAA compliance is essential.