Patient Benefits Specialist - Financial Counseling & Aid

The US Oncology Network; Keller (TX); On-site; USD 36,000 - 54,000; Full time

Job summary

The US Oncology Network in Keller, TX seeks a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial needs, and help with eligibility and assistance programs. This full-time role supports the Revenue Cycle Department at Texas Oncology.

Responsibilities include obtaining coverage information, processing pre-authorizations, calculating patient costs, and maintaining accurate records while adhering to compliance standards and HIPAA guidelines.

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.
• 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.

Responsibilities

• Before treatment, obtain insurance coverage information and demographics; educate patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess patients ability to meet expenses and discuss payment arrangements; educate on financial assistance programs; complete Patient Cost Estimate form.
• Complete reimbursement and liability forms for patient review and signature; forward information to billing office.
• Obtain insurance pre-authorization or referral approval codes from Clinical Reviewer prior to each treatment.
• Review patient account balance and notify front desk of patients to meet with.
• Ensure correct entry of patient co-pay amount into system for front-desk collection.
• Verify and update demographics and insurance coverage at each visit per SOPs.
• Stay current on available financial aid; build relationships with aid providers; seek leads to other programs.
• Maintain confidentiality per HIPAA; update manuals, logs, forms, and documentation.
• Perform other duties as requested.

Skills

CPT coding knowledge

HCPCS coding

Verbal communication

Microsoft Office

Education

High school diploma or equivalent

Associate degree in Finance or Business (preferred)

Tools

Microsoft Office (Word & Excel)

Job description

The US Oncology Network in Keller, TX seeks a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial needs, and help with eligibility and assistance programs. This full-time role supports the Revenue Cycle Department at Texas Oncology.

Responsibilities include obtaining coverage information, processing pre-authorizations, calculating patient costs, and maintaining accurate records while adhering to compliance standards and HIPAA guidelines.