Patient Benefits Navigator

Us Oncology Inc; Mount Pleasant (TX); On-site; USD 45,000 - 55,000; Full time

Job summary

Texas Oncology in Mt Pleasant, TX is hiring a Patient Benefits Representative for the Medical Oncology Department. This full-time role supports patients from initial contact through treatment, ensuring insurance coverage and benefits are understood and documented.

Typical work hours are 8:00 am–5:00 pm, Monday to Friday, with opportunities for level 1 or Sr depending on experience. The position involves assessing patients' financial ability, guiding them to available assistance programs, and

Qualifications

• Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.
• Must successfully complete required e-learning courses within 90 days of occupying position.
• Associates degree in Finance, Business or four years revenue cycle experience preferred.
• Minimum three (3) years pre-services coordinator experience and two (2) years of patient benefits experience required.
• Knowledge and application of insurance coverage benefits and terminology.

Responsibilities

• Before a patient receives 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 and identify sources; completes Patient Cost Estimate form.
• Completes reimbursement and liability forms for patient review; forwards information to billing office.
• Obtains insurance pre-authorization or referral approval codes prior to each treatment.
• Reviews patient account balance and notifies front desk of patients to meet with.
• Ensures patient co-pay amount is entered into system and collected.
• Verifies and updates demographics and insurance coverage at each patient visit per SOPs.
• Stays current on available financial aide; develops relationships with financial aide providers.
• Maintains confidentiality per HIPAA laws and guidelines.

Skills

Verbal communication

Computer proficiency

Microsoft Office (Word & Excel)

Education

High school diploma or equivalent

Associates degree / revenue cycle experience (preferred)

Tools

CPT/HCPCS coding

Job description

Texas Oncology in Mt Pleasant, TX is hiring a Patient Benefits Representative for the Medical Oncology Department. This full-time role supports patients from initial contact through treatment, ensuring insurance coverage and benefits are understood and documented.

Typical work hours are 8:00 am–5:00 pm, Monday to Friday, with opportunities for level 1 or Sr depending on experience. The position involves assessing patients' financial ability, guiding them to available assistance programs, and