Patient Benefits Concierge

The US Oncology Network; Austin (TX); On-site; USD 38,000 - 55,000; Full time

Job summary

The US Oncology Network seeks a Patient Benefits Representative to educate patients on insurance coverage and benefits and manage eligibility and pre-authorization at our Austin clinic. This roles supports the Revenue Cycle Department with accurate cost estimates and documentation.

Level 1 or Senior level depending on experience; strong emphasis on compliance, HIPAA, and patient financial assistance resources.

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 complete required e-learning courses within 90 days of occupying position.

Responsibilities

• Before a patient receives treatment, obtain insurance coverage information and educate patient on coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess patients' ability to meet expenses and discuss payment arrangements; educate on financial assistance programs and complete Patient Cost Estimate forms.
• Complete reimbursement and liability forms for patient review and signature and forward information to billing.
• Obtain insurance pre-authorization or referral approval codes prior to each treatment.
• Review patient balance and coordinate with front desk to meet with patients.
• Verify and update demographics and insurance data at each patient visit.

Skills

Customer service

Verbal communication

Computer skills

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

The US Oncology Network seeks a Patient Benefits Representative to educate patients on insurance coverage and benefits and manage eligibility and pre-authorization at our Austin clinic. This roles supports the Revenue Cycle Department with accurate cost estimates and documentation.

Level 1 or Senior level depending on experience; strong emphasis on compliance, HIPAA, and patient financial assistance resources.