Patient Services Representative

Texas Oncology; Bastrop (TX); On-site; USD 36,000 - 56,000; Full time

Job summary

Texas Oncology in Bastrop, TX is seeking a Patient Services Representative to join our team. This full-time role supports billing, claims submission, insurance verification, pre-authorization and patient counseling on insurance and payment matters. It operates Monday–Friday, 8:30am–5pm, with no weekends or major holidays.

The position may be level 1, 2, or Sr based on experience, and requires strong attention to detail, empathy for patients, and ability to navigate financial assistance resources.

Qualifications

• High School Diploma or equivalent is required.
• 0–3 years of medical business office experience for Level 1.
• Minimum 3–5 years of medical business office experience for Level 2.
• Minimum five years of medical business office experience for Level Sr.

Responsibilities

• Obtain and enter patient insurance and demographic information accurately.
• Collect co-pays and other out-of-pocket amounts at visit.
• Verify benefits and obtain pre-authorization as needed.
• Process claims and posting, reconcile daily batches.
• Assist patients with community resources and payment options.

Skills

Medical billing

Insurance verification

Customer service

Communication

Education

High School Diploma or Equivalent

Job description

Overview

The US Oncology Network is looking for a Patient Services Representative to join our team at Texas Oncology. This full‑time position will support the Bastrop location. It operates Monday‑Friday 8:30am‑5pm with no weekends, calls, or major holidays. The role can be level 1, 2, or Sr based on candidate experience.

What does the Patient Services Representative do?

Under direct supervision, perform general business office functions including billing and claim submissions; charge capture and payment posting; insurance verification and eligibility; obtaining pre‑authorization; counseling patients and families on insurance and payment issues; and account follow‑up and payment resolution. Assist patients and families with obtaining community resources such as housing, transportation, and financial support. Support and adhere to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.

Responsibilities

• Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system accurately and timely. Registers patients in the system as necessary.
• Collects and reviews all patient insurance information and completes insurance forms. Collects co‑pays, deductibles, and other out‑of‑pocket amounts at the time of visit.
• Confirms patient insurance verification and eligibility. Obtains pre‑authorization of services and/or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co‑pays, and financial obligations.
• Posts line items and adjustments to patient accounts. Balances receipts, reconciles daily work batches, and prepares audit trail. Prepares deposits for bank as needed.
• Reviews Explanation of Benefits (EOB) for consistency.
• Submits files and processes all claims for payment. Researches and resolves claim delay issues.
• Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary. Resubmits claims and processes all insurance/patient correspondence. Provides all documentation to expedite payment.
• Follows‑up on assigned accounts. Uses collection techniques to keep accounts current including monitoring for delinquent payments.
• Sets up financial arrangements with patients as necessary.
• Assists patients with researching and obtaining community resources including housing, transportation, drugs, and financial resources.

Qualifications

Level 1

• High School Diploma or equivalent required.
• 0–3 years of medical business office experience.

Level 2 (in addition to Level 1)

• Minimum 3–5 years of medical business office experience.

Level Sr (in addition to Levels 1 and 2)

• Minimum five years of medical business office experience.

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. The employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.

Work Environment

The work environment requires frequent interaction with patients and staff. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.