Patient Benefit 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 Oncology Department at our 1200 Brooklyn Avenue #115 clinic in San Antonio, Texas. Typical work week is Monday through Friday, 8:30a - 5:00p.

Note from Hiring Manager: The downtown Texas Oncology facility operates collaboratively as a team. Very positive environment.

This position will be a level 1 or Sr depending on relevant candidate 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 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.

What does the Patient Benefits Representative do? (including, but not limited to)

The Patient Benefits Representative, under general supervision, is responsible for educating patients on insurance coverage and benefits, assessing patients' financial ability, and may educate patients on assistance programs. Updates and maintains existing patient new insurance eligibility, coverage, and benefits in the system. Supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards, and US Oncology's Shared Values.

• Prior to a patient receiving treatment, obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assesses patients' ability to meet expenses and discusses payment arrangements; may educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms. Based on diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form.
• Completes appropriate reimbursement and liability forms for patient's review and signature; forwards appropriate information and forms to billing office.
• Obtains, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.
• Reviews patient account balance and notifies front desk of patients to meet with.
• Ensures that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately.
• At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs).
• Stays current on available financial aid; develops professional relationships with financial aid providers; networks with financial aid providers to obtain leads to other aid programs.
• Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patients' records.
• Maintains updated manuals, logs, forms, and documentation; performs additional duties as requested.
• Other duties as requested or assigned.

Level 1

• High school diploma or equivalent required.
• Minimum three (3) years patient pre-services coordinator or equivalent 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 position.

Level Sr (in addition to level 1 requirements)

• Associate’s degree in Finance, Business or four years revenue cycle experience preferred.
• Minimum three (3) years pre-services coordinator experience and two (2) years of patient…