Patient Benefits Rep

The US Oncology Network

Orland Park (IL)

On-site

USD 57,308,160 - 77,366,016

Full time

14 days+

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Benefits offered by this job

Medical

HRCA

Health Savings Accounts (HSA)

Dental

Vision

Life Insurance

Short‑Term Disability (STD)

Long‑Term Disability (LTD)

Employee Assistance Program (EAP)

Commuter Benefits

401(k)

Wellness Program

Paid Time Off

Job summary

Affiliated Oncologists in Orland Park, IL, within The US Oncology Network, seeks a Patient Benefits Rep to educate patients on insurance coverage and out‑of‑pocket costs before treatment. The role supports pre‑services by verifying eligibility and assisting with financial aid options.

You will coordinate pre‑authorizations, review balances, and help the front desk with billing and referrals while maintaining HIPAA compliance and compassionate care.

Qualifications

High school diploma or equivalent required.
Minimum three (3) years patient pre‑services coordinator or equivalent required.
Proficiency with computer systems and Microsoft Office (Word and Excel) required.
Demonstrates knowledge of CPT coding and HCPCS coding application.
Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.
Must successfully complete required e‑learning courses within 90 days of occupying position.

Responsibilities

Educates patients on insurance coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses before treatment.
Assesses patients' ability to meet expenses and discusses payment arrangements.
Educates patients on financial assistance programs and assists with completing forms.
Completes Patient Cost Estimate forms based on diagnosis, coverage, and aid.
Obtains insurance pre‑authorization or referral approvals prior to treatment.
Reviews patient balances and notifies front desk to arrange payment.
Updates demographics and insurance in the system at each visit.
Assists pre‑services team with obtaining referral authorizations for office services.

Skills

Customer service

CPT/HCPCS knowledge

Verbal communication

Microsoft Office

E‑learning compliance

Education

High school diploma

Tools

None

Job description

Overview

Employment Type: Full‑Time

In‑Office Position

Orland Park, IL

Join the Affiliated Oncologists team as a Patient Benefits Rep! Affiliated Oncologists has been a trusted leader in cancer care for over 50 years in Chicago’s Southland. Our team focuses on each patient’s needs, guiding them through their journey from diagnosis to survivorship. We offer personalized treatment plans using the latest cancer treatments, including access to clinical research trials. Our multidisciplinary team includes doctors and advanced practice providers specializing in medical oncology, hematology, radiation oncology, gynecologic oncology, and gynecologic surgery.

SCOPE

Under general supervision, responsible for educating patients on insurance coverage and benefits. Assess patients financial ability; may educate patients on assistance programs. Updates and maintains existing patient new insurance eligibility, coverage, and benefits in the system. Supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards, and US Oncology’s Shared Values.

ESSENTIAL DUTIES AND 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, from Clinical Reviewer, 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 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 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 HIPAA laws and guidelines with regards to patient’s records.
Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested.
Assists pre‑services team with obtaining insurance referral authorizations for office services when needed.
Other duties as requested or assigned.

MINIMUM QUALIFICATIONS

High school diploma or equivalent required.
Minimum three (3) years patient pre‑services coordinator or equivalent required.
Proficiency with computer systems and Microsoft Office (Word and Excel) required.
Demonstrates knowledge of CPT coding and HCPCS coding application.
Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.
Must successfully complete required e‑learning courses within 90 days of occupying position.

Core Competencies

Uses Technical and Functional Experience: Possesses up‑to‑date knowledge of the profession and industry; regarded as a subject matter expert in the technical/functional area; accesses and uses other expert resources when appropriate.
Demonstrates Adaptability: Handles day‑to‑day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change; shows resilience in the face of constraints, frustrations, or adversity; demonstrates flexibility.
Uses Sound Judgment: Makes timely, cost‑effective and sound decisions; makes decisions under conditions of uncertainty.
Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluates products, processes, and services against those standards; manages quality; improves efficiencies.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye‑hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

Work Environment

The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations, and other conditions common to an oncology/hematology clinic environment. Work will involve in‑person interaction with co‑workers and management and/or clients. Work may require minimal travel by automobile to office sites.

Benefits Included In This Position