Patient Benefits Representative

Join to apply for the Patient Benefits Representative role at Texas Oncology
.

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 Oncology/Radiation Revenue Cycle Department at our 901 W. 38th Street clinic in Austin, Texas. Typical work week is Monday through Friday, 8:30 a.m. – 5:00 p.m.

Note from Hiring Manager:
Midtown is a close‑knit family that works very well together across all departments to ensure our patients are well cared for timely.

This position will be a level 1 or Sr depending on relevant candidate experience.

As a part of the US Oncology Network, Texas Oncology delivers high‑quality, evidence‑based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas. Our mission is to make the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby.

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

Under general supervision, the Patient Benefits Representative is responsible for educating patients on insurance coverage and benefits, assessing patients’ financial ability, and may educate patients on assistance programs. They update and maintain existing patient insurance eligibility, coverage, and benefits in the system, supporting and adhering to the US Oncology Compliance Program, including the Code of Ethics and Business Standards, and US Oncology’s Shared Values.

• Prior to a patient receiving treatment, obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses.
• Assesses patients’ ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms. Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form.
• Completes appropriate reimbursement and liability forms for patient’s review and signature. Forwards appropriate information and forms to the billing office.
• Obtains insurance pre‑authorization or referral approval codes prior to each treatment from the Clinical Reviewer.
• Reviews patient account balance and notifies front desk of patients to meet with.
• Ensures that patient co‑pay amount is correctly entered into the system (or conveyed), allowing front desk to collect appropriately.
• At each patient visit, verifies and updates demographics and insurance coverage in the computer system according to Standard Operating Procedures (SOPs).
• Stays current on available financial aid. Develops professional relationships with financial aid providers. Networks with financial aid providers to obtain leads to other aid programs.
• Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient records.
• Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested.
• Other duties as requested or assigned.

• High school diploma or equivalent required.
• Minimum three (3) years patient pre‑services coordinator or equivalent required.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.
• Demonstrates knowledge of CPT coding and HCPCS coding application.
• Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.
• Must successfully complete required e‑learning courses within 90 days of occupying the position.

• Associate’s degree in Finance, Business or four years revenue cycle experience…