The US Oncology Network
Patient Benefits Representative
The US Oncology Network, Mckinney, Texas, United States, 75070
Overview
The US Oncology Network is looking for a
Patient Benefits Representative
to join our team at
Texas Oncology . This full-time position will support the Oncology/Radiation Department at the clinic located at 5236 W. University Drive #1000, McKinney, Texas. Typical work week is Monday through Friday, 8:30a - 5:00p. This position may be level 1 or Sr depending on relevant candidate experience. As part of
The US Oncology Network , Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country with approximately 530 providers in 280+ sites across Texas. Our mission is to deliver high-quality, evidence-based cancer care to help patients achieve more breakthroughs and victories in their fight against cancer. 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. Assess patients' ability to meet expenses and discuss payment arrangements. Educate patients on financial assistance programs and identify sources and assist with completing forms. Based on diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form. Complete appropriate reimbursement and liability forms for patient review and signature. Forward relevant information and forms to the billing office. Obtain, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment. Review patient account balance and notify front desk of patients to meet with. Ensure that patient co-pay amount is correctly entered into the system (or conveyed) to allow front desk to collect appropriately. At each patient visit, verify and update demographics and insurance coverage in the computer system according to SOPs. Stay current on available financial aide; develop professional relationships with financial aide providers; network to obtain leads to other aide programs. Adhere to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records. Maintain updated manuals, logs, forms, and documentation. Perform additional duties as requested. Other duties as requested or assigned. Qualifications
The ideal candidate will have the following background and experience: 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 HCPCS coding application. Clear verbal communication and use of appropriate terminology. Must successfully complete required e-learning courses within 90 days of occupying the position. Level Sr (in Addition To Level 1 Requirements)
Associates 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. Knowledge and appropriate application of insurance coverage benefits and terminology. Competencies
Uses Technical and Functional Experience: Possesses up-to-date knowledge of the profession and industry; seeks expert resources when appropriate. Demonstrates Adaptability: Handles day-to-day challenges; adjusts to multiple demands, shifting priorities, ambiguity, and rapid change; shows resilience. Uses Sound Judgment: Makes timely, cost-effective and sound decisions under uncertainty. Shows Work Commitment: Sets high standards and works efficiently to achieve goals. Commits to Quality: Delivers quality products/services; defines standards and evaluates against them; manages and improves quality. Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The role requires being present at the site during scheduled hours, and may involve sitting or standing, talking or hearing, and general movement. Requires ability to lift up to 40 lbs occasionally. Work Environment
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, and other conditions common to an oncology/hematology clinic. In-person interaction with co-workers and management/customers is required. Minimal travel by automobile to office sites may be necessary. Job Details
Seniority level: Mid-Senior level Employment type: Full-time Job function: Human Resources Industries: Hospitals and Health Care
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The US Oncology Network is looking for a
Patient Benefits Representative
to join our team at
Texas Oncology . This full-time position will support the Oncology/Radiation Department at the clinic located at 5236 W. University Drive #1000, McKinney, Texas. Typical work week is Monday through Friday, 8:30a - 5:00p. This position may be level 1 or Sr depending on relevant candidate experience. As part of
The US Oncology Network , Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country with approximately 530 providers in 280+ sites across Texas. Our mission is to deliver high-quality, evidence-based cancer care to help patients achieve more breakthroughs and victories in their fight against cancer. 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. Assess patients' ability to meet expenses and discuss payment arrangements. Educate patients on financial assistance programs and identify sources and assist with completing forms. Based on diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form. Complete appropriate reimbursement and liability forms for patient review and signature. Forward relevant information and forms to the billing office. Obtain, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment. Review patient account balance and notify front desk of patients to meet with. Ensure that patient co-pay amount is correctly entered into the system (or conveyed) to allow front desk to collect appropriately. At each patient visit, verify and update demographics and insurance coverage in the computer system according to SOPs. Stay current on available financial aide; develop professional relationships with financial aide providers; network to obtain leads to other aide programs. Adhere to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records. Maintain updated manuals, logs, forms, and documentation. Perform additional duties as requested. Other duties as requested or assigned. Qualifications
The ideal candidate will have the following background and experience: 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 HCPCS coding application. Clear verbal communication and use of appropriate terminology. Must successfully complete required e-learning courses within 90 days of occupying the position. Level Sr (in Addition To Level 1 Requirements)
Associates 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. Knowledge and appropriate application of insurance coverage benefits and terminology. Competencies
Uses Technical and Functional Experience: Possesses up-to-date knowledge of the profession and industry; seeks expert resources when appropriate. Demonstrates Adaptability: Handles day-to-day challenges; adjusts to multiple demands, shifting priorities, ambiguity, and rapid change; shows resilience. Uses Sound Judgment: Makes timely, cost-effective and sound decisions under uncertainty. Shows Work Commitment: Sets high standards and works efficiently to achieve goals. Commits to Quality: Delivers quality products/services; defines standards and evaluates against them; manages and improves quality. Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The role requires being present at the site during scheduled hours, and may involve sitting or standing, talking or hearing, and general movement. Requires ability to lift up to 40 lbs occasionally. Work Environment
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, and other conditions common to an oncology/hematology clinic. In-person interaction with co-workers and management/customers is required. Minimal travel by automobile to office sites may be necessary. Job Details
Seniority level: Mid-Senior level Employment type: Full-time Job function: Human Resources Industries: Hospitals and Health Care
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