Patient Financial Benefits Advisor

US Oncology Network-wide Career Opportunities; Plano (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

The US Oncology Network in Plano, TX is seeking a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial needs, and manage eligibility and approvals in the clinic's system.

Responsibilities include obtaining pre-authorizations, calculating patient costs, and maintaining accurate records while aligning with HIPAA and compliance standards. This role requires collaboration with the Medical Oncology Department in a fast-paced oncology setting.

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 correct terminology.
• Must complete required e-learning courses within 90 days of occupying position.

Responsibilities

• Obtain insurance coverage info and demographics; educate patient on coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess ability to meet expenses and discuss payment arrangements; educate on financial assistance programs and complete Patient Cost Estimate form.
• Complete reimbursement and liability forms for patient review and signature; forward to billing office.
• Obtain insurance pre-authorization or referral codes prior to each treatment.
• Review patient account balance and notify front desk to schedule meetings.
• Ensure patient co-pay amount is entered correctly in system to collect it.
• Verify and update demographics and insurance coverage at each visit according to SOPs.
• Stay current on available financial aid; build relationships with providers.
• Adhere to confidentiality, HIPAA laws and guidelines.
• Maintain updated manuals, logs, forms, and documentation.
• Perform other duties as requested.

Skills

Verbal communication

Attention to detail

Customer service

Education

High school diploma or equivalent

Associates degree in Finance/Business or revenue cycle experience (preferred)

Tools

Microsoft Office (Word & Excel)

Job description

The US Oncology Network in Plano, TX is seeking a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial needs, and manage eligibility and approvals in the clinic's system.

Responsibilities include obtaining pre-authorizations, calculating patient costs, and maintaining accurate records while aligning with HIPAA and compliance standards. This role requires collaboration with the Medical Oncology Department in a fast-paced oncology setting.