Patient Benefits & Financial Counseling Specialist

Us Oncology Inc; Centreville (VA); On-site; USD 42,000 - 64,000; Full time

Job summary

Virginia Cancer Specialists in Fairfax is seeking an experienced full-time Patient Benefit Specialist to verify insurance, assess patient financial requirements, and counsel patients on benefits and co-payments. The role includes obtaining pre-authorizations, maintaining patient demographics, and supporting compliance with the US Oncology standards to ensure smooth front-office operations.

Join a team committed to helping patients navigate coverage and cost, with comprehensive benefits and a

Qualifications

• High school diploma or equivalent.
• At least 3 years of medical business office experience with insurance procedures and patient interaction.

Responsibilities

• Obtains and maintains accurate insurance, demographic, and eligibility information.
• Performs insurance verification for all payers and obtains initial and subsequent pre-authorizations.
• Re-verifies benefits and obtains required authorizations after treatment plan discussion.
• Uses patient reimbursement summaries and obtains approvals as needed.
• Performs financial counseling for all patients, discusses financial obligations and payment arrangements.
• Documents counseling process and forwards to Billing Office.
• Assists patients in obtaining financial assistance and outside support services.
• Collects co-pays, deductibles, and other out-of-pocket amounts at visit.
• Maintains manuals, logs, and required documentation.
• Protects patient confidentiality and adheres to policies and procedures.

Skills

Insurance verification

Pre-authorization

Financial counseling

Patient interaction

Data entry

Education

High school diploma or equivalent

Tools

Billing software

EMR system

Job description

Virginia Cancer Specialists in Fairfax is seeking an experienced full-time Patient Benefit Specialist to verify insurance, assess patient financial requirements, and counsel patients on benefits and co-payments. The role includes obtaining pre-authorizations, maintaining patient demographics, and supporting compliance with the US Oncology standards to ensure smooth front-office operations.

Join a team committed to helping patients navigate coverage and cost, with comprehensive benefits and a