Senior Oncology Patient Benefits Specialist

Texas Oncology; Dallas (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

Texas Oncology in Dallas seeks a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial need, and assist with aid applications. You will update eligibility data and support the Revenue Cycle Department across our clinic.

Level 1 or Sr depending on experience; full-time role with a Monday–Friday schedule. Strong communication, CPT/HCPCS knowledge, and MS Office skills are essential to succeed.

Qualifications

• High school diploma or equivalent required.
• Knowledge of CPT coding and HCPCS coding applications.
• Proficiency with computer systems and Microsoft Office (Word and Excel).
• Experience as a pre-services coordinator or equivalent in patient financial operations.
• Ability to educate patients on insurance coverage and financial assistance programs.
• Completion of required e-learning courses within 90 days.

Responsibilities

• Educates patients on insurance coverage, benefits, co-pays, deductibles and out-of-pocket costs.
• Assesses patients' ability to meet expenses and discusses payment arrangements and assistance options.
• Completes reimbursement and liability forms for patient review and forwards to billing.
• Obtains pre-authorization or referral codes from Clinical Reviewer prior to treatment.
• Verifies and updates patient demographics and insurance in the system at visits.

Skills

Proficient in MS Office (Word, Excel)

Verbal communication

Insurance coverage knowledge

Financial assistance awareness

Patient pre-services coordination

CPT/HCPCS coding knowledge

Education

High school diploma or equivalent

Associates degree or 4 years revenue cycle experience

Tools

Microsoft Office

Job description

Texas Oncology in Dallas seeks a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial need, and assist with aid applications. You will update eligibility data and support the Revenue Cycle Department across our clinic.

Level 1 or Sr depending on experience; full-time role with a Monday–Friday schedule. Strong communication, CPT/HCPCS knowledge, and MS Office skills are essential to succeed.