Patient Services Representative

Overview

This is a full-time Monday–Friday 8:30am–5:00pm position with no weekends, call, or major holidays. This position can be at Level 1, Level 2, or Sr based on candidate experience. The role supports the US Oncology Network at Texas Oncology, located at 12221 Renfert Way, Suite 300, Austin, Texas 78758.

• Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner. Registers patients in the system as necessary.
• Collects and reviews all patient insurance information and completes insurance forms. Collects co-pays, deductibles and other out-of-pocket amounts at the time of visit.
• Confirms patient insurance verification and eligibility. Obtains pre-authorization of services and/or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co-pays, and financial obligations.
• Posts line items and adjustments to patient accounts. Balances receipts, reconciles daily work batches and prepares audit trail. Prepares deposits for bank as needed.
• Reviews Explanation of Benefits (EOB) for consistency.
• Submits files and processes all claims for payment. Researches and resolves claim delay issues.
• Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary. Resubmits claims and processes all insurance/patient correspondence. Provides all documentation to expedite payment.
• Follows up on assigned accounts. Uses collection techniques to keep accounts current including monitoring for delinquent payments.
• Sets up financial arrangements with patients as necessary.
• As necessary, assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources.

The ideal candidate for the Patient Services Representative will have the following background and experience:

• High School Diploma or equivalent required.
• This position is entry level and requires 0–3 years of medical business office experience.
• Bilingual in English and Spanish preferred.
• Oncology experience preferred.

• Minimum 3 to 5 years medical business office experience.

• Minimum five years medical business office experience.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel.

The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work requires frequent interaction with patients and staff.

Seniority level:
Entry level

Employment type:

Full-time

Job function:
Health Care Provider

Industries:
Hospitals and Health Care

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