Senior Patient Benefits Navigator

The US Oncology Network; Dallas (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

The US Oncology Network is seeking a Patient Benefits Representative for our Texas Oncology clinic in Dallas. This full-time role supports the Revenue Cycle Department, educating patients on insurance coverage and benefits while verifying eligibility and assisting with financial options.

Level 1 or Senior depending on experience; requires strong communication, CPT/HCPCS knowledge, and proficiency with Office tools. Compliance and patient confidentiality are essential.

Qualifications

• High school diploma or equivalent required; experience in patient pre-services coordination preferred.
• Minimum three years as a pre-services coordinator or equivalent.
• Proficiency with computer systems and Microsoft Office.
• Knowledge of CPT coding and HCPCS coding.
• Able to communicate clearly and effectively.
• Complete required e-learning within 90 days of starting.

Responsibilities

• Educate patients on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket costs.
• Assess patients' ability to meet expenses and discuss payment arrangements; explain financial assistance options.
• Complete reimbursement and liability forms and route to billing office.
• Obtain pre-authorization or referral codes prior to treatment.
• Verify and update patient demographics and insurance coverage at visits.
• Maintain confidentiality per HIPAA and related laws.
• Support compliance programs and company values.
• Other duties as assigned.

Skills

High school diploma or equivalent

Pre-services coordinator experience

Microsoft Office proficiency

CPT/HCPCS coding knowledge

Verbal communication

E-learning completion within 90 days

Finance/Business degree

Revenue cycle experience

Patient benefits experience

Insurance coverage knowledge

Education

High school diploma or equivalent

Associates degree in Finance/Business

Tools

Microsoft Office

Healthcare revenue cycle software

Job description

The US Oncology Network is seeking a Patient Benefits Representative for our Texas Oncology clinic in Dallas. This full-time role supports the Revenue Cycle Department, educating patients on insurance coverage and benefits while verifying eligibility and assisting with financial options.

Level 1 or Senior depending on experience; requires strong communication, CPT/HCPCS knowledge, and proficiency with Office tools. Compliance and patient confidentiality are essential.