Patient Services Representative

Overview

The US Oncology Network (US Oncology Network) is seeking a Patient Services Representative to join the Texas Oncology team at the North Austin location (12221 Renfert Way Suite 300 Austin, Texas 78758). This full‑time Monday‑Friday 8:30 am‑5 pm position (no weekends, call, or major holidays) supports the Gynecology Oncology department. The role can be Level 1, Level 2, or Senior based on candidate experience.

• Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system accurately and timely; registers patients as needed.
• Collects and reviews all patient insurance information, completes insurance forms, and 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.
• Assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources.

The ideal candidate will have the following:

• Level 1:
  High School Diploma or equivalent; 0-3 years of medical business office experience.
• Level 2 (additional to Level
  1):
  Minimum 3-5 years medical business office experience.
• Level Sr (additional to Levels 1 and
  2):
  Minimum five years medical business office experience.

Regularly required to sit and use hands to finger, handle, or feel; occasionally required to stand, walk, and reach with hands and arms. Must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.

Requires frequent interaction with patients and staff. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job.