Patient Benefits Specialist

US Oncology Network-wide Career Opportunities; Longview (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

The US Oncology Network–Texas Oncology in Longview, TX seeks a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial needs, and update eligibility information. This full-time role supports the Oncology department at 1300 N. 4th Street and requires HIPAA-compliant handling of patient data.

Level 1 or Sr based on experience; typical hours are Monday–Friday, 8:00 am–5:00 pm; proficiency with CPT/HCPCS knowledge and Microsoft Office is a plus.

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 and correct terminology.
• 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.

Responsibilities

• Before treatment, obtain insurance coverage information and demographics; educate patient on benefits and costs.
• Assess patients' ability to meet expenses and discuss payment arrangements; identify financial assistance sources.
• Complete reimbursement and liability forms for patient review; forward to billing.
• Obtain insurance pre-authorization or referral approval codes prior to each treatment.
• Review patient account balance and notify front desk to schedule discussions.
• Verify co-pay amounts in the system during patient visits.

Skills

Computer systems

Microsoft Office

Verbal communication

CPT/HCPCS knowledge

Education

High school diploma or equivalent

Associates degree in Finance or Business

Job description

The US Oncology Network–Texas Oncology in Longview, TX seeks a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial needs, and update eligibility information. This full-time role supports the Oncology department at 1300 N. 4th Street and requires HIPAA-compliant handling of patient data.

Level 1 or Sr based on experience; typical hours are Monday–Friday, 8:00 am–5:00 pm; proficiency with CPT/HCPCS knowledge and Microsoft Office is a plus.