Texas Oncology · 1 day ago
Patient Benefits Representative
Dallas, TX
Full-time
Onsite
Entry, Mid, Senior Level
3+ years expTexas Oncology is part of The US Oncology Network, dedicated to providing high-quality cancer care. The Patient Benefits Representative will educate patients on insurance coverage, assess financial abilities, and maintain insurance eligibility while adhering to compliance programs.
AssociationBiotechnologyHealth CareOncology
Responsibilities
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
Completes Patient Cost Estimate form based upon diagnosis, estimated insurance coverage, and financial assistance
Completes appropriate reimbursement and liability forms for patient’s review and signature
Forwards appropriate information and forms to billing office
Responsible for obtaining 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, 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
Qualification
Required
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 HCPS 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
Associates 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 benefits experience required
Must be able to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology
Company
Texas Oncology
Founded in 1986, Texas Oncology is a pioneer in high quality community-based cancer care.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Steve Paulson
CEO
Jason Shook
Chief Operating Officer | Chief Financial Officer
Recent News
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