Senior Oncology Patient Benefits Specialist

Us Oncology Inc; Dallas (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

The US Oncology Network is seeking a Patient Benefits Representative to support Texas Oncology in Dallas. This full-time role educates patients on insurance coverage, assesses financial ability, and guides them through assistance programs.

You will work within the Revenue Cycle Department at the 8196 Walnut Hill clinic, collaborating with two oncology locations and ensuring accuracy of benefits and pre-authorization processes.

Qualifications

• High school diploma or equivalent required.
• Minimum 3 years patient pre-services coordinator experience.
• 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 terminology.
• Must complete required e-learning courses within 90 days of occupying position.

Responsibilities

• Before patient treatment, gather insurance coverage information and educate on benefits and costs.
• Assess patient financial ability and discuss payment arrangements; inform on financial assistance programs.
• Complete reimbursement and liability forms and forward to billing.
• Obtain pre-authorization or referral codes from Clinical Reviewer prior to treatment.
• Review patient balances and coordinate with front desk for collection of copays.
• Verify/update demographics and insurance in the system per SOPs.
• Stay current on available financial aid and build relationships with providers.
• Maintain confidentiality and adhere to HIPAA and company policies.
• Perform additional duties as requested.

Skills

Computer proficiency

Microsoft Office

CPT/HCPCS coding

Verbal communication

E-learning completion

Education

High school diploma

Associate degree in Finance/Business

Tools

Microsoft Excel

CRM systems

Job description

The US Oncology Network is seeking a Patient Benefits Representative to support Texas Oncology in Dallas. This full-time role educates patients on insurance coverage, assesses financial ability, and guides them through assistance programs.

You will work within the Revenue Cycle Department at the 8196 Walnut Hill clinic, collaborating with two oncology locations and ensuring accuracy of benefits and pre-authorization processes.