Maryland Oncology Hematology · 2 days ago
Patient Benefits Representative - Remote
United States
Full-time
Remote
Entry, Mid, Senior Level
3+ years expMaryland Oncology Hematology is part of The US Oncology Network, which is looking for a Patient Benefits Representative to join their team at Texas Oncology. This role involves educating patients on insurance coverage, assessing financial ability, and maintaining insurance eligibility and benefits in the system.
Health CareHospitalMedicalOncology
Responsibilities
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
Educates patients on financial assistance programs as well as identifies sources and provides 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, 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
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
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
Preferred
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
Maryland Oncology Hematology
Maryland Oncology Hematology is a community based healthcare institution specialized in research and treatment of cancer patients.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
David Weng
Partner
Recent News
Maryland Daily Record
2024-12-17
Company data provided by crunchbase