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Texas Oncology · 21 hours ago

Patient Service Representative I

Round Rock, TX

Full-time

Onsite

New Grad, Entry Level

0+ years exp

Texas Oncology is part of The US Oncology Network, which delivers high-quality, evidence-based cancer care to patients. The Patient Services Representative I will perform general business office functions, including billing, insurance verification, and assisting patients with community resources.

AssociationBiotechnologyHealth CareOncology

Responsibilities

Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner. Registers patients in the system as necessary

Collects and reviews all patient insurance information and completes insurance forms. Collects co-pays, deductibles and other out of pocket amounts at the time of visit

Confirms patient insurance verification and eligibility. Obtains pre-authorization of services and/or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co-pays and financial obligations

Posts line items and adjustments to patient accounts. Balances receipts, reconciles daily work batches and prepares audit trail. Prepares deposits for bank as needed

Reviews Explanation of Benefits (EOB) for consistency

Submits files and processes all claims for payment. Researches and resolves claim delay issues

Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary. Resubmits claims and processes all insurance/patient correspondence. Provides all documentation to expedite payment

Follows-up on assigned accounts. Uses collection techniques to keep accounts current including monitoring for delinquent payments

Sets-up financial arrangements with patients as necessary

As necessary, assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources