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 Revenue Cycle Department at our 1609 Hospital Parkway clinic in Bedford, Texas. The typical work week is Monday through Friday, 8:30 a.m. – 5:00 p.m.

Note from Hiring Manager
:
Texas Oncology is a great company, and this is an awesome team!

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 founders pioneered community‑based cancer care because they believed in making 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. Our mission is still the same today—at Texas Oncology, we use leading‑edge technology and research to deliver high‑quality, evidence‑based cancer care to help our patients achieve “More breakthroughs.

More victories.”® in their fight against cancer. 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 in America.
The US Oncology Network is supported by Mc Kesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

The Patient Benefits Representative, under general supervision, is responsible for educating patients on insurance coverage and benefits. The role includes assessing patients’ financial ability, providing education on assistance programs, updating and maintaining patient insurance eligibility, coverage, and benefits in the system, and supporting compliance with US Oncology’s compliance program, code of ethics, and business standards.

• Obtain insurance coverage information and demographics prior to patient treatment; educate patients on coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses.
• Assess patients’ ability to meet expenses and discuss payment arrangements; educate patients on financial assistance programs and assist with completing forms. Complete Patient Cost Estimate forms based on diagnosis, insurance coverage, and financial assistance.
• Complete appropriate reimbursement and liability forms for patient review and signature; forward information and forms to billing office.
• Obtain insurance pre‑authorization or referral approval codes from the Clinical Reviewer prior to each treatment.
• Review patient account balance and notify front desk of patients to meet with.
• Ensure that patient co‑pay amount is correctly entered into the system (or conveyed) so the front desk can collect appropriately.
• Verify and update demographics and insurance coverage in the computer system at each patient visit according to SOPs.
• Stay current on available financial aid and develop professional relationships with financial aid providers. Network with financial aid providers to obtain leads to other aid programs.
• Adhere to confidentiality, state, federal, and HIPAA laws and guidelines regarding patients’ records.
• Maintain updated manuals, logs, forms, and documentation; perform additional duties as requested.
• Other duties as requested or assigned.

• High school diploma or equivalent required.
• Minimum three (3) years of patient pre‑services coordination or equivalent experience required.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.
• Demonstrate 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…