Senior Patient Benefits Specialist

US Oncology Network-wide Career Opportunities; Houston (TX); Sur place; USD 40 000 - 55 000; Plein temps

Résumé du poste

The US Oncology Network is seeking a Patient Benefits Representative to join Texas Oncology in Houston. This full-time role focuses on educating patients about insurance coverage and benefits, assessing their financial ability, and supporting billing and assistance programs.

You will maintain patient records, update eligibility in the system, and collaborate with the billing office as needed. Level 1 or Senior level will depend on experience; strong CPT/HCPCS knowledge and proficiency with

Qualifications

• High school diploma or equivalent required.
• Minimum three years patient pre-services coordinator experience.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.
• Demonstrate knowledge of CPT coding and HCPCS coding.
• Must be able to verbally communicate clearly using appropriate terminology.
• Must complete required e-learning courses within 90 days.

Responsabilités

• Before treatment, obtain insurance information and educate the patient on coverage and co-pays.
• Assess financial ability and discuss payment plans; identify financial assistance sources.
• Complete Patient Cost Estimate form based on diagnosis and coverage.
• Submit reimbursement and liability forms to billing; forward information as needed.
• Obtain pre-authorization or referral codes prior to treatment.
• Verify demographics and insurance coverage at each patient visit.
• Maintain confidentiality per SOPs and HIPAA laws.

Connaissances

Verbal communication

CPT/HCPCS coding

Office proficiency

Formation

High school diploma

Associates degree in Finance

Outils

Microsoft Word

Microsoft Excel

Description du poste

The US Oncology Network is seeking a Patient Benefits Representative to join Texas Oncology in Houston. This full-time role focuses on educating patients about insurance coverage and benefits, assessing their financial ability, and supporting billing and assistance programs.

You will maintain patient records, update eligibility in the system, and collaborate with the billing office as needed. Level 1 or Senior level will depend on experience; strong CPT/HCPCS knowledge and proficiency with