Patient Benefit Specialist

Virginia Cancer Specialists, P.C.; Alexandria (VA); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Paid Holidays

401(k)

Job summary

Virginia Cancer Specialists in Old Town Alexandria is seeking a full-time Patient Benefit Specialist to join our revenue cycle team. You will verify insurance, determine eligibility, obtain pre-authorizations, and collect patient demographics and co-payments.

You will provide financial counseling, assist obtaining Medicaid or other assistance, document conversations, and help patients navigate benefits while maintaining confidentiality.

Qualifications

• High school diploma or equivalent required.
• Minimum three years of medical business office experience with insurance procedures and patient interaction.

Responsibilities

• Verify insurance, demographic, and eligibility information accurately.
• Perform insurance verification and obtain initial/subsequent pre-authorization for services.
• Re-verify benefits and obtain necessary authorizations/referrals before treatment.
• Use the Summary of Patient Reimbursement form and obtain approvals as needed.
• Conduct financial counseling for patients before treatment, explain obligations, billing practices, and arrange payments.
• Document financial counseling and forward to Billing Office.
• Assist patients in obtaining financial assistance and outside support; complete required forms.
• Collect co-pays and other out-of-pocket amounts at visit.
• Maintain manuals/logs and ensure confidentiality per policy.
• Provide front-office support and assist with other duties as needed.

Skills

Insurance verification

Eligibility verification

Financial counseling

Data entry

Patient interaction

Pre-authorization

Front office support

Education

High school diploma or equivalent

Job description

• Alexandria, Virginia
• Revenue Cycle
• Virginia Cancer Specialists
• 42724

Overview

Are you looking for a career and not just a job in the Medical field? Virginia Cancer Specialists, affiliated with McKesson Specialty Health and US Oncology, a leader in cancer care, is seeking an experienced full time Patient Benefit Specialist for our Old Town Alexandria office. GREAT BENEFITS INCLUDE: Medical, Dental, Vision, Paid Holidays, and 401(k).

Scope

Under general supervision, is responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and co-payments. Obtains pre-authorization of services. Obtains and maintains accurate patient demographics. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.
• Performs insurance verification process on all third party payers. Obtains initial and subsequent pre-authorization for services and surgeries.
• Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures appropriate signatures are obtained on all necessary forms.
• Utilizes the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required.
• Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements.
• Documents financial counseling process and forwards to Billing Office.
• Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and all appropriate forms filled out.
• Collects co-pays, deductible and other out of pocket amounts at time of visit.
• Assists in maintaining manuals, logs and other required documentation as required.
• Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
• Follows policies and procedures to contribute to the efficiency of the front office. Covers for and assists with other front office functions as requested.

Qualifications

MINIMUM QUALIFICATIONS: High school diploma or equivalent required. Minimum three years of medical business office experience with insurance procedures and patient interaction.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.

Join us at Virginia Cancer Specialists, where meeting and exceeding the needs of our patients is our primary goal!

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.