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Maryland Oncology Hematology · 1 day ago

Patient Benefits Representative

Suffolk, VA

Full-time

Onsite

Mid Level

3+ years exp

Virginia Oncology Associates is the largest group of medical professionals in Hampton Roads and Northeast North Carolina devoted exclusively to cancer care and blood disorders. They are seeking a Patient Benefits Representative to support their Harbourview location in Suffolk, responsible for obtaining insurance coverage information, educating patients on benefits, and managing financial assistance programs.

Health CareHospitalMedicalOncology

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

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 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 insurance pre-authorization or referral approval codes prior to each treatment

Ensures that patient co-pay amount is correctly entered into system (or conveyed)

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