Patient Benefits Representative

Overview

Texas Oncology, part of The US Oncology Network, is seeking a Patient Benefits Representative to join our team. This full‑time position supports the Medical Oncology Department at 800 West Central Texas Expressway, Suite 305 in Harker Heights, Texas. Typical work week:
Monday‑Friday, 8:30 a.m. – 5:00 p.m. The role is level 1 or senior depending on relevant experience.

The US Oncology Network delivers high‑quality, evidence‑based care to patients close to home. Texas Oncology is the largest community oncology provider in the country, with approximately 530 providers in 280+ sites across Texas. Our mission is to provide high‑quality, evidence‑based cancer care to help patients achieve “More breakthroughs. More victories.”® The organization treats half of all Texans diagnosed with cancer annually.

The US Oncology Network is one of the nation’s largest networks of community‑based oncology physicians. It is supported by McKesson Corporation, focusing on empowering a sustainable patient‑care delivery system.

The Patient Benefits Representative, under general supervision, educates patients on insurance coverage and benefits, assesses financial ability, and may provide assistance program education. The representative updates and maintains patient insurance eligibility, coverage, and benefits in the system 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, demographics, and educate on coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses.
• Assess patient ability to meet expenses, discuss payment arrangements, and educate on financial assistance programs; identify sources and assist with form completion. Complete Patient Cost Estimate form based on diagnosis, coverage, and assistance.
• Complete appropriate reimbursement and liability forms for patient review and signature; forward information to the billing office.
• Obtain pre‑authorization or referral approval codes before each treatment in coordination with the Clinical Reviewer.
• Review patient account balance and notify front desk of patients who need to meet with them.
• Ensure that patient co‑pay amount is correctly entered into the system (or conveyed), enabling accurate front‑desk collection.
• At each visit, verify and update demographics and insurance coverage in the computer system per SOPs.
• Stay current on available financial aid, develop relationships with providers, and network to obtain leads for additional programs.
• Adhere to confidentiality, state, federal, and HIPAA laws and guidelines concerning 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.
• Minimum of three (3) years as a patient pre‑services coordinator or equivalent.
• Proficiency with computer systems and Microsoft Office (Word, Excel).
• Knowledge of CPT and HCPCS coding application.
• Clear verbal communication and appropriate terminology usage.
• Must complete required e‑learning courses within 90 days of employment.

• Associate degree in Finance, Business, or four years revenue cycle experience preferred.
• Minimum of three (3) years pre‑services coordinator experience and two (2) years of patient benefits experience.
• Ability to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology.

• Uses technical and functional experience; stays up‑to‑date and seeks expert resources when needed.
• Adaptability: handles daily challenges confidently, adjusts to multiple demands, and demonstrates resilience.
• Sound judgment: makes timely, cost‑effective decisions under uncertainty.
• Work commitment: sets high standards, pursues goals, and works efficiently.
• Commitment to quality: emphasizes quality, defines standards, evaluates against them, and seeks improvements.

The role requires regular presence on site during business hours, sitting or standing, talking or hearing, and full range body motion, including handling and lifting patients and items up to 40 lbs. Corrected vision and hearing are required.

The environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic. The work involves in‑person interaction with coworkers, management, and clients and may require minimal travel by automobile.