Senior Patient Benefits Specialist

Texas Oncology; Denton (TX); On-site; USD 38,000 - 47,000; Full time

Job summary

Texas Oncology is seeking a Patient Benefits Representative to support the Oncology Department at the Denton clinic. The role is full-time, Monday–Friday, 8:00a–4:30p, with duties in insurance education and patient cost coordination.

The ideal candidate will have a high school diploma, 3+ years in patient pre-services, and knowledge of CPT/HCPCS coding, plus proficiency in Microsoft Office. HIPAA compliance is essential.

Qualifications

• High school diploma or equivalent is required.
• Minimum three years as a patient pre-services coordinator or equivalent.
• Proficiency with computer systems and Microsoft Office.
• Knowledge of CPT coding and HCPCS coding.
• Clear verbal communication and correct terminology.
• Must complete required e-learning courses within 90 days of occupying position.

Responsibilities

• Educate patients on insurance coverage, benefits, co-pays, deductibles and out-of-pocket expenses.
• Assess financial ability and discuss payment arrangements; assist with forms and financial aid.
• Complete reimbursement and liability forms; forward to billing office.
• Obtain insurance pre-authorization or referral approval codes prior to treatment.
• Review patient account balance and notify front desk to meet with patients.
• Ensure patient co-pays are entered correctly in the system and collected.
• Verify and update demographics and insurance per SOPs.
• Stay updated on financial aide options and network with providers.
• Maintain confidentiality per HIPAA and company policies.
• Update manuals, logs, and forms; perform additional duties.
• Other duties as assigned.

Skills

Verbal communication

CPT/HCPCS coding

E-learning completion

Education

High school diploma or equivalent

Associate degree in Finance/Business or revenue cycle experience

Tools

Microsoft Office

Job description

Texas Oncology is seeking a Patient Benefits Representative to support the Oncology Department at the Denton clinic. The role is full-time, Monday–Friday, 8:00a–4:30p, with duties in insurance education and patient cost coordination.

The ideal candidate will have a high school diploma, 3+ years in patient pre-services, and knowledge of CPT/HCPCS coding, plus proficiency in Microsoft Office. HIPAA compliance is essential.