The US Oncology Network · 1 day ago
Patient Benefit Representative team lead
Bedford, VA
Full-time
Onsite
Mid Level
3+ years expThe US Oncology Network is looking for a Patient Benefits Representative Lead to join their team at Texas Oncology. This role involves educating patients on insurance coverage, assessing financial abilities, and supporting the onboarding of new hires within the Revenue Cycle Department.
CommunitiesHealth CareMedicalOncologyTest and Measurement
Responsibilities
Prior to a patients first appointment, obtains preliminary diagnosis, insurance coverage information and demographics. Based upon diagnosis, estimates insurance coverage, financial obligation, and completes patient cost estimate forms. Prepares and completes appropriate reimbursement and liability forms for patients first appointment
During patients first appointment, educates patient on insurance coverage, pre-authorizations, 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. Reviews reimbursement and liability forms with patient and obtains approval signatures
Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment
Maintains current knowledge on TxO Standard Operating Procedures (SOPs) and best practices, and supports the on the job training and onboading of new PBR staff
Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately
Reviews and processes refund requests and adjustments. May discuss and resolve delinquent payments with patient and/or payers. -At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs)
Maintains updated manuals, logs, forms, and documentation. Performs additional duties requested. Other duties as requested or assigned
Qualification
Required
High school diploma or equivalent required
Minimum 3 years of Patient Benefits experience required
Must be able to demonstrate knowledge of CPT coding and HCPS coding manuals
Must verbally communicate clearly and utilize the appropriate and correct terminology
Must be able to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology
Preferred
Associates degree in Finance/Business or 6 years of revenue cycle experience preferred
Company
The US Oncology Network
Every day, The US Oncology Network helps approximately 3,300 providers deliver value-based, integrated care for patients—close to home.
10001+ employees
H1B Sponsorship
The US Oncology Network has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
Funding
Current Stage
Late StageTotal Funding
unknown2010-12-30Acquired
Leadership Team
R. Steve Paulson
National Policy Board Executive Committee
Recent News
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