Patient Benefit Representative

Apply for the Patient Benefit Representative role at Maryland Oncology Hematology
.

US Oncology Network is looking for a Patient Benefits Representative to join our team at Texas Oncology
, supporting the Oncology Department at our 1200 Brooklyn Avenue #115 clinic in San Antonio, Texas. This full‑time position is Monday‑Friday, 8:30 a.m. – 5:00 p.m., and is offered at either level 1 or Sr, depending on experience.

U S Oncology Network and Texas Oncology deliver high‑quality, evidence‑based cancer care to patients close to home. Texas Oncology is the largest community oncology provider in the country, with over 530 providers in 280+ sites across Texas, and focuses on making advanced cancer care accessible to all communities.

The Patient Benefits Representative, under general supervision, is responsible for educating patients on insurance coverage and benefits, assessing their financial ability, and providing information on assistance programs. The role also involves updating and maintaining patients’ insurance eligibility in the system, adhering to US Oncology’s compliance program, and supporting billing processes.

• Prior to a patient receiving treatment, obtain insurance coverage information and demographics; educate patient 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 form based on diagnosis and coverage.
• Complete appropriate reimbursement and liability forms for patient review and signature; forward information and forms to the billing office.
• Obtain pre‑authorization or referral approval codes from the Clinical Reviewer before each treatment.
• Review patient account balance and notify frontline staff of patients who need to meet with the billing team.
• Ensure that the patient co‑pay amount is correctly entered into the system, allowing staff to collect properly.
• At each patient visit, verify and update demographics and insurance coverage in the computer system according to SOPs.
• Stay current on available financial aid, develop professional relationships with aid providers, and network to obtain leads for additional aid programs.
• Adhere to confidentiality, state, federal, and HIPAA laws and guidelines regarding 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 three (3) years as a patient pre‑services coordinator or equivalent.
• Proficiency with computer systems and Microsoft Office (Word & Excel).
• Demonstrated knowledge of CPT and HCPCS coding application.
• Clear verbal communication and correct terminology usage.
• Complete required e‑learning courses within 90 days of starting.

• Associate’s degree in Finance, Business, or four years of revenue cycle experience preferred.
• Minimum three (3) years as a pre‑services coordinator and two (2) years of patient benefits experience required.
• Demonstrate knowledge and application of insurance coverage benefits and terminology.

• Uses technical and functional experience and is regarded as an expert in the area.
• Demonstrates adaptability, flexibility, and resilience in the face of changing demands.
• Uses sound judgment and makes timely, cost‑effective decisions.
• Shows work commitment, sets high performance standards, and pursues aggressive goals.
• Commits to quality by emphasizing delivery of high‑quality products and services.

The physical demands include regular presence at the site during business hours, sitting or standing and talking or hearing, full range of motion, handling and lifting patients, manual and finger dexterity, eye‑hand coordination, and occasional lifting of up to 40 lbs. Corrected vision and hearing are required.

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

Mid‑Senior level

Full‑time

Human Resources