Patient Services Representative; Front Desk

Patient Services Representative (Front Desk) –
The US Oncology Network

SCRI Oncology Partners, located in Nashville, TN, is a dedicated cancer treatment center led by globally recognized oncologists with expertise in cancer care and clinical research.

We offer patients state‑of‑the‑art personalized cancer care and opportunities to participate in clinical trials with innovative treatments. The practice conducts trials through its affiliation with the Sarah Cannon Research Institute (SCRI), a global leader in oncology research.

Under general supervision, the patient services representative performs general business office functions that may include some or all of the following:

• Billing and claim submissions; charge capture and payment posting; insurance verification and eligibility; obtaining pre‑authorization; counseling patients and families on insurance and payment issues; and account follow‑up and payment resolution.
• Assistance to patients and families with obtaining community resources including, but not limited to, housing, transportation, and financial support.
• Supporting and adhering to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.

• Ensure all insurance, demographic, and eligibility information is obtained and entered accurately and timely.
• Collect and review all patient insurance information and complete insurance forms; collect co‑pays, deductibles, and other out‑of‑pocket amounts at the time of visit.
• Confirm insurance verification, eligibility, pre‑authorization of services and/or referrals; assess financial requirements and advise patients on benefits and obligations.
• Post line items and adjustments to patient accounts; balance receipts, reconcile daily work batches, and prepare audit trails; prepare deposits for bank as needed.
• Review Explanation of Benefits (EOB) for consistency.
• Submit files and process all claims for payment; research and resolve claim delay issues.
• Resolve patient questions and complaints regarding insurance billing and adjust accounts as necessary; resubmit claims and process all correspondence; provide documentation to expedite payment.
• Follow‑up on assigned accounts; use collection techniques to keep accounts current and monitor for delinquent payments.
• Set up financial arrangements with patients as necessary.
• Assist patients with researching and obtaining community resources such as housing, transportation, drugs and pharmaceutical supplies, and financial resources.

• High School Diploma or equivalent required.
• Minimum of three to five years of medical business office experience.

The job requires regular sitting and use of hands. Occasional standing, walking, reaching, and lifting of up to 30 pounds are required. Vision and hearing must be within normal corrected ranges.

The work environment involves frequent interaction with patients and staff. Reasonable accommodations may be made for individuals with disabilities.

Seniority level:
Mid‑Senior level.

Employment type:

Full‑time. Job function:
Health Care Provider. Industries:
Hospitals and Health Care.