Patient Benefits Navigator

The US Oncology Network; Washington (District of Columbia); On-site; USD 27,000 - 42,000; Full time

Job summary

Maryland Oncology Hematology is seeking qualified professionals to join our oncology practice. The role focuses on educating patients about insurance coverage, benefits, and cost-sharing while supporting billing and financial assistance processes.

Responsibilities include obtaining pre-authorization, updating patient demographics, and ensuring accurate co-pay entries. A strong understanding of HIPAA and compliance is essential in this patient-facing position.

Qualifications

• Uses Technical and Functional Experience: up-to-date knowledge of the profession and industry; regarded as a subject matter expert.
• Demonstrates Adaptability: handles daily challenges and shifts in priorities; resilient under constraints.
• Uses Sound Judgment: makes timely, cost-effective decisions under uncertainty.
• Shows Work Commitment: maintains high performance standards and pursues ambitious goals.

Responsibilities

• Obtain insurance coverage information and educate patients on benefits, co-pays, deductibles, and out-of-pocket costs; assess ability to pay and discuss payment options.
• Obtain pre-authorization or referral approval codes prior to treatment.
• Review patient account balance and notify front desk to arrange payments.
• Verify and update demographics and insurance coverage in the system per SOPs.
• Stay current on financial aide options; build relationships with aides and providers.

Job description

Maryland Oncology Hematology is seeking qualified professionals to join our oncology practice. The role focuses on educating patients about insurance coverage, benefits, and cost-sharing while supporting billing and financial assistance processes.

Responsibilities include obtaining pre-authorization, updating patient demographics, and ensuring accurate co-pay entries. A strong understanding of HIPAA and compliance is essential in this patient-facing position.