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 9750 Hillwood Parkway clinic in Fort Worth, Texas. Typical work week is Monday through Friday, 7:30a – 4:00p.

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 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 exploring assistance programs. Administer Patient Cost Estimate forms, process reimbursement and liability forms, obtain pre‑authorization codes, verify and update demographics and insurance coverage in the system, and maintain accurate documentation. The representative supports and adheres to the US Oncology Compliance Program, including the Code of Ethics, Business Standards, and Shared Values.

• Prior to a patient receiving treatment, obtain insurance coverage information and demographics; educate patient on insurance coverage, benefits, copays, deductibles, and out‑of‑pocket expenses.
• Assess patients’ ability to meet expenses and discuss payment arrangements. May educate patients on financial assistance programs, identify sources, and assist with completing forms. Based on diagnosis, estimated insurance coverage, and financial assistance, complete Patient Cost Estimate form.
• Complete appropriate reimbursement and liability forms for patient’s review and signature. Forward appropriate information and forms to the billing office.
• Obtain, from Clinical Reviewer, insurance pre‑authorization or referral approval codes prior to each treatment.
• Review patient account balance and notify front desk of patients to meet with.
• Ensure that patient copay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately.
• At each patient visit, verify and update demographics and insurance coverage in computer system according to SOPs.
• Stay current on available financial aid. 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 with regard to patient 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 coordinator 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 use…