Patient Benefits & Financial Care Specialist

US Oncology Inc.; Austin, Northern (TX, KY); Hybrid; USD 38,000 - 52,000; Full time

Job summary

Texas Oncology is seeking a Patient Benefits Representative to join the Medical Oncology Department at the Balcones clinic in Austin. This full-time role focuses on educating patients about insurance coverage and benefits, assessing their financial needs, and coordinating authorizations for treatments.

The position requires strong communication, proficiency with Word/Excel, and knowledge of CPT coding. A proactive, compassionate team player will thrive helping patients, providers, and clinical

Qualifications

• High school diploma or equivalent required.
• Minimum three years patient pre-services coordinator experience.
• Proficiency with computer systems and Word/Excel.
• Demonstrate knowledge of CPT coding and HCPCS coding application.
• Clear verbal communication and correct terminology usage.
• Must complete required e-learning courses within 90 days.

Responsibilities

• Before treatment, obtain insurance information and educate on coverage, benefits, co-pays, deductibles, and out-of-pocket costs.
• Assess patient ability to meet expenses and discuss payment arrangements; educate on financial assistance programs.
• Complete reimbursement and liability forms for patient review and signature.
• Obtain pre-authorization or referral approval codes from Clinical Reviewer prior to treatment.
• Review patient balances and coordinate with front desk for collection of fees.
• Verify demographics and insurance coverage at each visit per SOPs.
• Stay updated on available financial aid and build relationships with aid providers.
• Maintain confidentiality per HIPAA and comply with all policies.
• Maintain manuals, logs, and forms; perform other duties as assigned.

Skills

High school diploma

Microsoft Office

CPT coding

Verbal communication

Education

Associates degree in Finance or Business

Tools

Excel

Job description

Texas Oncology is seeking a Patient Benefits Representative to join the Medical Oncology Department at the Balcones clinic in Austin. This full-time role focuses on educating patients about insurance coverage and benefits, assessing their financial needs, and coordinating authorizations for treatments.

The position requires strong communication, proficiency with Word/Excel, and knowledge of CPT coding. A proactive, compassionate team player will thrive helping patients, providers, and clinical