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Texas Oncology · 1 day ago

Patient Benefits Representative Sr

Greater Abilene Area

Full-time

Onsite

Mid, Senior Level

3+ years exp

Texas Oncology is part of The US Oncology Network, delivering high-quality, evidence-based cancer care to patients. The Patient Benefits Representative Sr is responsible for educating patients on insurance coverage and benefits, assessing financial ability, and ensuring accurate insurance information is maintained in the system.

AssociationBiotechnologyHealth CareOncology

Responsibilities

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

Assess 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 upon 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

Responsible for obtaining, 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 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 aide. Develops professional relationships with financial aide providers. Networks with financial aide providers to obtain leads to other aide programs

Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient’s records

Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested

Other duties as requested or assigned

Qualification

Patient pre-services coordinationInsurance coverage knowledgeCPT coding knowledgeMicrosoft Office proficiencyFinancial assistance knowledgeSound judgmentWork commitmentQuality commitmentVerbal communicationAdaptability