Patient Benefits & Financial Aid Specialist

The US Oncology Network; Dallas (TX); On-site; USD 42,000 - 66,000; Full time

Job summary

The US Oncology Network in Dallas, TX is seeking a Patient Benefits Representative to support the Medical and Gynecologic Oncology Departments at Texas Oncology.

This full-time role educates patients on insurance coverage, assists with eligibility and financial assistance, and coordinates benefits through the billing office, while maintaining HIPAA compliance and focusing on accurate pre-services preauthorization.

Qualifications

• High school diploma or equivalent required.
• Minimum three years of patient pre-services coordinator or equivalent experience.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.
• Must demonstrate knowledge of CPT coding and HCPCS coding.

Responsibilities

• Prior to a patient receiving treatment; 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 discusses payment arrangements; may educate patients on financial assistance programs.
• Completes appropriate reimbursement and liability forms for patient’s review and signature; forwards information to billing office.
• Responsible for obtaining 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 and conveyed to front desk.
• At each patient visit, verifies and updates demographics and insurance coverage in the system.
• Stays current on available financial aide; develops relationships with financial aide providers.
• Adheres to confidentiality and HIPAA laws; maintains documentation.
• Performs additional duties as requested.

Skills

Communication skills

Proficiency with computer systems

CPT & HCPCS coding knowledge

Microsoft Office (Word & Excel)

E-learning courses completion

Education

High school diploma or equivalent

Associates degree in Finance or Business or 4 years revenue cycle experience

Tools

Microsoft Office (Word & Excel)

Job description

The US Oncology Network in Dallas, TX is seeking a Patient Benefits Representative to support the Medical and Gynecologic Oncology Departments at Texas Oncology.

This full-time role educates patients on insurance coverage, assists with eligibility and financial assistance, and coordinates benefits through the billing office, while maintaining HIPAA compliance and focusing on accurate pre-services preauthorization.