Patient Benefits Representative

Overview

The US Oncology Network is looking for a Patient Benefits Representative to join our team at Texas Oncology
. This full‑time position will support the Medical Oncology Department at our 12221 Renfert Way Ste 300 clinic in Austin, Texas. Typical work week is Monday through Friday, 8:30 a.m. – 5:00 p.m.

This position will be a level 1 or senior level depending on the candidate’s relevant experience.

Texas Oncology delivers high‑quality, evidence‑based care to patients close to home. It is the largest community oncology provider in the country, with approximately 530 providers in 280+ sites across Texas. We pioneered community‑based cancer care by making the best available cancer care accessible to all communities, so patients can fight cancer at home with the critical support of family and friends nearby.

Our mission is to use leading‑edge technology and research to help our patients achieve "More breakthroughs. More victories." Today,
Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

The US Oncology Network is one of the nation’s largest networks of community‑based oncology physicians dedicated to advancing cancer care. The network is supported by McKesson Corporation
, focused on empowering a vibrant and sustainable community patient‑care delivery system.

The Patient Benefits Representative, under general supervision, is responsible for educating patients on insurance coverage and benefits; assessing patients’ financial ability; and offering assistance programs. The role maintains accurate patient insurance information in the system and complies with the US Oncology Compliance Program, Code of Ethics, Business Standards, and shared values.

• Prior to a patient receiving treatment, obtain insurance coverage information and demographics and educate the patient on insurance coverage, benefits, copays, deductibles, and out‑of‑pocket expenses.
• Assess patients’ ability to meet expenses, discuss payment arrangements, and provide information on financial assistance programs. Complete the Patient Cost Estimate form based on diagnosis, insurance coverage, and financial assistance.
• Complete appropriate reimbursement and liability forms for the patient’s review and signature and forward the information and forms to the billing office.
• Obtain insurance pre‑authorization or referral approval codes from the Clinical Reviewer prior to each treatment.
• Review patient account balances and notify the front desk of patients to meet with them.
• Ensure the patient’s copay amount is correctly entered into the system (or conveyed) to allow the front desk to collect appropriately.
• At each patient visit, verify and update demographics and insurance coverage in the system according to Standard Operating Procedures (SOPs).
• Stay current on available financial aid, develop professional relationships with aid providers, and network to obtain leads to additional aid programs.
• Adhere to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records.
• Maintain updated manuals, logs, forms, and documentation and perform additional duties as requested.
• Other duties as requested or assigned.

• High school diploma or equivalent required.
• Minimum three (3) years as a patient pre‑services coordinator or equivalent.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.
• Knowledge of CPT coding and HCPCS coding application.
• Clear verbal communication skills with appropriate terminology.
• Must successfully complete required e‑learning courses within 90 days of occupation.

• Associate’s degree in Finance, Business, or four years of revenue cycle experience preferred.
• Minimum three (3) years of pre‑services coordinator experience and two (2) years of patient benefits experience required.
• Demonstrate knowledge and appropriate application of insurance coverage benefits and terminology.

• Uses Technical and Functional
  
  Experience:
  
  Possesses up‑to‑date knowledge of the profession and industry; regarded as a subject matter expert; accesses and uses expert resources when appropriate.
• D…