The US Oncology Network
Patient Benefits Representative - Float
The US Oncology Network, Bastrop, Texas, United States, 78602
Overview
Patient Benefits Representative
supports the Medical Oncology Department at Texas Oncology’s Bastrop clinic, with possible travel to San Marcos and Kyle for coverage. This full‑time position involves Monday‑Friday, 8:30 a.m. – 5:00 p.m. work. The role is key to educating patients on insurance coverage, assessing financial ability, and facilitating receipt of benefits and assistance programs.
Responsibilities
Prior to treatment, obtain insurance coverage information, educates patient on coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses.
Assess patient ability to meet expenses, discuss payment arrangements, and educate on financial assistance programs; complete Patient Cost Estimate form based on diagnosis and coverage.
Complete reimbursement and liability forms for patient review and signature; forward information to billing office.
Obtain insurance pre‑authorization or referral approval codes before each treatment.
Review patient account balance and notify front desk of patients to meet with front desk.
Ensure that patient co‑pay amount is correctly entered into system so front desk can collect appropriately.
At each visit, verify and update demographics and insurance coverage in computer system according to SOPs.
Stays current on available financial aide; develop professional relationships with financial aide providers and network with providers to obtain leads to other aide programs.
Adhere to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient records.
Maintain updated manuals, logs, forms, and documentation; perform additional duties as requested.
Qualifications Level 1
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.
Effective verbal communication skills.
Complete required e‑learning courses within 90 days of occupation.
Level Sr (in addition to Level 1 requirements)
Associate’s degree in Finance, Business, or four years of revenue cycle experience preferred.
Minimum three (3) years pre‑services coordinator experience and two (2) years of patient benefits experience required.
Demonstrate knowledge and appropriate application of insurance coverage benefits and terminology.
Competencies
Uses Technical and Functional Experience: up‑to‑date knowledge of the profession and industry; regarded as a subject‑matter expert; accesses and uses other expert resources when appropriate.
Demonstrates Adaptability: handles day‑to‑day work challenges confidently; willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change; shows resilience in the face of constraints, frustrations, and adversity; demonstrates flexibility.
Uses Sound Judgment: makes timely, cost‑effective, and sound decisions; makes decisions under conditions of uncertainty.
Shows Work Commitment: sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
Commits to Quality: emphasizes the need to deliver quality products and services; defines standards for quality and evaluates products, processes, and service against those standards; manages quality; improves efficiencies.
Physical Demands Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye‑hand coordination. Requires standing and walking for extensive periods of time and occasionally lifts items weighing up to 40 lb.
Work Environment May include exposure to communicable diseases, toxic substances, ionizing radiation, and other conditions common to an oncology/hematology clinic environment. Work involves in‑person interaction with co‑workers, management, and/or clients. May require minimal auto travel to office sites.
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supports the Medical Oncology Department at Texas Oncology’s Bastrop clinic, with possible travel to San Marcos and Kyle for coverage. This full‑time position involves Monday‑Friday, 8:30 a.m. – 5:00 p.m. work. The role is key to educating patients on insurance coverage, assessing financial ability, and facilitating receipt of benefits and assistance programs.
Responsibilities
Prior to treatment, obtain insurance coverage information, educates patient on coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses.
Assess patient ability to meet expenses, discuss payment arrangements, and educate on financial assistance programs; complete Patient Cost Estimate form based on diagnosis and coverage.
Complete reimbursement and liability forms for patient review and signature; forward information to billing office.
Obtain insurance pre‑authorization or referral approval codes before each treatment.
Review patient account balance and notify front desk of patients to meet with front desk.
Ensure that patient co‑pay amount is correctly entered into system so front desk can collect appropriately.
At each visit, verify and update demographics and insurance coverage in computer system according to SOPs.
Stays current on available financial aide; develop professional relationships with financial aide providers and network with providers to obtain leads to other aide programs.
Adhere to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient records.
Maintain updated manuals, logs, forms, and documentation; perform additional duties as requested.
Qualifications Level 1
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.
Effective verbal communication skills.
Complete required e‑learning courses within 90 days of occupation.
Level Sr (in addition to Level 1 requirements)
Associate’s degree in Finance, Business, or four years of revenue cycle experience preferred.
Minimum three (3) years pre‑services coordinator experience and two (2) years of patient benefits experience required.
Demonstrate knowledge and appropriate application of insurance coverage benefits and terminology.
Competencies
Uses Technical and Functional Experience: up‑to‑date knowledge of the profession and industry; regarded as a subject‑matter expert; accesses and uses other expert resources when appropriate.
Demonstrates Adaptability: handles day‑to‑day work challenges confidently; willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change; shows resilience in the face of constraints, frustrations, and adversity; demonstrates flexibility.
Uses Sound Judgment: makes timely, cost‑effective, and sound decisions; makes decisions under conditions of uncertainty.
Shows Work Commitment: sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
Commits to Quality: emphasizes the need to deliver quality products and services; defines standards for quality and evaluates products, processes, and service against those standards; manages quality; improves efficiencies.
Physical Demands Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye‑hand coordination. Requires standing and walking for extensive periods of time and occasionally lifts items weighing up to 40 lb.
Work Environment May include exposure to communicable diseases, toxic substances, ionizing radiation, and other conditions common to an oncology/hematology clinic environment. Work involves in‑person interaction with co‑workers, management, and/or clients. May require minimal auto travel to office sites.
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