Senior Patient Benefits Specialist

Texas Oncology; Dallas (TX); On-site; USD 42,000 - 60,000; Full time

Job summary

Texas Oncology is seeking a Patient Benefits Representative at the Dallas clinic (8196 Walnut Hill #100) to educate patients on insurance coverage and benefits. The role supports the Breast Surgery Department, with a Mon-Fri schedule from 8:00a to 4:30p, in a collaborative clinic environment.

The successful candidate will handle pre-services coordination, eligibility updates, and financial assistance navigation while adhering to HIPAA and compliance standards.

Qualifications

• High school diploma or equivalent required.
• Associates degree in Finance, Business or four years revenue cycle experience preferred.
• Proficiency with computer systems and Microsoft Office (Word and Excel).
• Demonstrate knowledge of CPT coding and HCPCS coding applications.
• Excellent verbal communication and accurate terminology usage.
• Completion of required e-learning courses within 90 days.

Responsibilities

• Obtain insurance coverage information and demographics prior to treatment; educate patient on coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess patient ability to meet expenses and discuss payment arrangements; may educate on financial assistance programs.
• Complete reimbursement and liability forms for patient review and signature; forward to billing office.
• Obtain pre-authorization or referral codes from Clinical Reviewer prior to each treatment.
• Review patient account balance and coordinate with front desk for collections.
• Verify and update patient demographics and insurance coverage in the system at each visit.

Skills

Communication

Microsoft Office

CPT coding

HCPCS coding

Verbal communication

Education

High school diploma or equivalent

Associates degree in Finance or Business or four years revenue cycle experience

Job description

Texas Oncology is seeking a Patient Benefits Representative at the Dallas clinic (8196 Walnut Hill #100) to educate patients on insurance coverage and benefits. The role supports the Breast Surgery Department, with a Mon-Fri schedule from 8:00a to 4:30p, in a collaborative clinic environment.

The successful candidate will handle pre-services coordination, eligibility updates, and financial assistance navigation while adhering to HIPAA and compliance standards.