Patient Benefits & Financial Counseling Specialist

The US Oncology Network; Chesapeake (VA); On-site; USD 47,000 - 55,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Life Insurance

401(k)

Job summary

Virginia Oncology Associates, the leading cancer care group in Hampton Roads and Northeast North Carolina, seeks a Patient Benefits Representative for our Chesapeake location. This full-time, in-person role focuses on collecting insurance data, educating patients on coverage, and coordinating cost estimates with billing.

You will verify demographics, process pre-authorizations, and maintain compliance with HIPAA while building relationships with financial aid providers.

Qualifications

• High school diploma or equivalent required.
• Minimum three (3) years pre-services coordinator experience required and two (2) years of patient benefits experience preferred.
• Proficiency with computer systems and Microsoft Office (Word and Excel)
• Demonstrated knowledge of CPT coding and HCPCS coding application.
• Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.
• Must be willing to travel to all clinic locations as needed.

Responsibilities

• Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assesses patients' ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms.
• Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form. Completes appropriate reimbursement and liability forms for patient’s review and signature. Forwards appropriate information and forms to billing office.
• Responsible for obtaining insurance pre-authorization or referral approval codes prior to each treatment.
• Ensures that patient co-pay amount is correctly entered into system (or conveyed)
• Verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs).
• Stays current on available financial aide. Develops professional relationships with financial aide providers. Networks with financial aide providers to obtain leads to other aide programs.
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient’s records.
• Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested.

Skills

Communication skills

Microsoft Office

CPT/HCPCS coding knowledge

Computer systems proficiency

Education

High school diploma or equivalent

Job description

Virginia Oncology Associates, the leading cancer care group in Hampton Roads and Northeast North Carolina, seeks a Patient Benefits Representative for our Chesapeake location. This full-time, in-person role focuses on collecting insurance data, educating patients on coverage, and coordinating cost estimates with billing.

You will verify demographics, process pre-authorizations, and maintain compliance with HIPAA while building relationships with financial aid providers.