Patient Benefits & Financial Counseling Specialist

City of Hope; Dallas (TX); On-site; USD 25,000 - 39,000; Full time

Job summary

Texas Oncology, part of The US Oncology Network, seeks a Patient Benefits Representative to educate patients on insurance coverage, assess financial ability, and assist with financial aid. The role updates eligibility and coverage in our system and supports compliance.

Level 1 or Sr depending on experience; position supports two oncology locations in Dallas with a collaborative revenue cycle team, focusing on accuracy and timely support for patient finances.

Qualifications

• High school diploma or equivalent required.
• Minimum three (3) years patient pre-services coordinator or equivalent.
• 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 successfully complete required e-learning courses within 90 days of occupying position.

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.
• Assess 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.
• Completes appropriate reimbursement and liability forms for patient’s review and signature. Forwards appropriate information and forms to billing office.
• Responsible for obtaining, from Clinical Reviewer, 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 (or conveyed), allowing front desk to collect appropriately
• At each patient visit, verifies and updates demographics and insurance coverage in computer system according to SOPs.
• Stays current on available financial aide. Develops professional relationships with financial aide providers.
• 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.
• Other duties as requested or assigned.

Skills

Computer proficiency

MS Office

Communication

e‑learning

Education

High school diploma

Finance/Business degree (Sr)

Job description

Texas Oncology, part of The US Oncology Network, seeks a Patient Benefits Representative to educate patients on insurance coverage, assess financial ability, and assist with financial aid. The role updates eligibility and coverage in our system and supports compliance.

Level 1 or Sr depending on experience; position supports two oncology locations in Dallas with a collaborative revenue cycle team, focusing on accuracy and timely support for patient finances.