Senior Patient Benefits Specialist

Texas Oncology; Houston (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

Texas Oncology in Houston, TX, is seeking a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial need, and help with eligibility and assistance programs. This full-time role reports to the Oncology Department and supports upfront pre-authorization processes.

You will update patient records, liaise with billing, and maintain confidentiality in a fast-paced oncology clinic.

Qualifications

• High school diploma or equivalent requirement.
• Proficiency with computer systems and Microsoft Office (Word and Excel).
• Knowledge of CPT and HCPCS coding.
• Ability to communicate clearly and use correct terminology.
• Complete required e-learning courses within 90 days.

Responsibilities

• Obtain insurance coverage information and educate patients on benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess patients' ability to meet expenses and discuss payment arrangements; assist with financial aid information.
• Complete reimbursement and liability forms for patient review and signature; forward to billing.
• Obtain prior authorization or referrals from Clinical Reviewer prior to treatment.
• Update patient demographics and insurance coverage in the system per SOPs.
• Maintain confidentiality and stay compliant with HIPAA and related guidelines.
• Develop relationships with financial aid providers and stay current on aide programs.
• Perform additional duties as requested.

Skills

Communication

MS Office

Verbal communication

Education

High school diploma

Associates degree in Finance/Business

Tools

CPT coding

HCPCS coding

Job description

Texas Oncology in Houston, TX, is seeking a Patient Benefits Representative to educate patients on insurance coverage and benefits, assess financial need, and help with eligibility and assistance programs. This full-time role reports to the Oncology Department and supports upfront pre-authorization processes.

You will update patient records, liaise with billing, and maintain confidentiality in a fast-paced oncology clinic.