US Oncology Inc.
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 Department at our 3410 Worth Street clinic in Dallas, Texas. Typical work week is Monday through Friday, 8:00a – 4:30p.
This position will be a level 1 or Sr depending on relevant candidate experience.
As a 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 our patients achieve “More breakthroughs. More victories.” Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.
The US Oncology Network is one of the nation’s largest networks of community‑based oncology physicians dedicated to advancing cancer care in America. The network is supported by McKesson Corporation, focused on empowering a vibrant and sustainable community patient‑care delivery system.
What does the Patient Benefits Representative do? Educates patients on insurance coverage and benefits, assesses a patient’s financial ability, and promotes eligibility for assistance programs. Maintains and updates patient insurance eligibility and benefits data, supports the US Oncology Compliance Program, including the Code of Ethics, Business Standards, and Shared Values.
Responsibilities
Prior to a patient receiving treatment, obtains insurance coverage information and patient demographics; educates the patient on coverage, benefits, copays, deductibles, and out‑of‑pocket expenses.
Assesses patients’ ability to meet expenses, discusses payment arrangements, and educates patients on financial assistance programs. Completes patient cost estimate forms based on diagnosis, coverage, and assistance.
Completes appropriate reimbursement and liability forms for patient review and signature; forwards information to the billing office.
Obtains insurance pre‑authorization or referral approval codes before each treatment.
Reviews patient account balances and notifies the front desk of patients who need to meet with representatives.
Ensures patient copay amounts are correctly entered into the system or conveyed to the front desk.
Verifies and updates demographics and insurance coverage in the computer system at each visit per SOPs.
Stays current on available financial aid, develops relationships with financial aid providers, and networks to obtain leads to other assistance programs.
Adheres to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records.
Maintains updated manuals, logs, forms, and documentation; performs additional duties as requested.
Other duties as requested or assigned.
Qualifications Level 1
High school diploma or equivalent required.
Minimum three (3) years of patient pre‑services coordinator or equivalent experience required.
Proficiency with computer systems and Microsoft Office (Word and Excel) required.
Demonstrated knowledge of CPT coding and HCPCS coding application.
Clear verbal communication skills and correct terminology usage.
Completion of required e‑learning courses within 90 days of appointment.
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 of pre‑services coordinator experience and two (2) years of patient benefits experience required.
Demonstrated knowledge and appropriate application of insurance coverage benefits and terminology.
Competencies
Possesses up‑to‑date knowledge of the profession and industry; regarded as a subject‑matter expert.
Demonstrates adaptability in handling day‑to‑day work challenges with flexibility and resilience.
Uses sound judgment to make timely, cost‑effective decisions under uncertainty.
Exhibits high work commitment, sets aggressive goals, and works efficiently to achieve them.
Commits to quality by defining and following standards, evaluating processes, and improving efficiency.
Physical Demands Requires presence at the employee site during scheduled business hours; duties include sitting, standing, walking, talking, hearing, full body motion, handling and lifting up to 40 lb., and maintaining corrected vision and hearing within the normal range.
Work Environment Work may involve exposure to communicable diseases and toxic substances typical of an oncology clinic environment. Interaction with co‑workers, management, and clients is required. Minimal travel by automobile to office sites may be needed.
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This position will be a level 1 or Sr depending on relevant candidate experience.
As a 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 our patients achieve “More breakthroughs. More victories.” Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.
The US Oncology Network is one of the nation’s largest networks of community‑based oncology physicians dedicated to advancing cancer care in America. The network is supported by McKesson Corporation, focused on empowering a vibrant and sustainable community patient‑care delivery system.
What does the Patient Benefits Representative do? Educates patients on insurance coverage and benefits, assesses a patient’s financial ability, and promotes eligibility for assistance programs. Maintains and updates patient insurance eligibility and benefits data, supports the US Oncology Compliance Program, including the Code of Ethics, Business Standards, and Shared Values.
Responsibilities
Prior to a patient receiving treatment, obtains insurance coverage information and patient demographics; educates the patient on coverage, benefits, copays, deductibles, and out‑of‑pocket expenses.
Assesses patients’ ability to meet expenses, discusses payment arrangements, and educates patients on financial assistance programs. Completes patient cost estimate forms based on diagnosis, coverage, and assistance.
Completes appropriate reimbursement and liability forms for patient review and signature; forwards information to the billing office.
Obtains insurance pre‑authorization or referral approval codes before each treatment.
Reviews patient account balances and notifies the front desk of patients who need to meet with representatives.
Ensures patient copay amounts are correctly entered into the system or conveyed to the front desk.
Verifies and updates demographics and insurance coverage in the computer system at each visit per SOPs.
Stays current on available financial aid, develops relationships with financial aid providers, and networks to obtain leads to other assistance programs.
Adheres to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records.
Maintains updated manuals, logs, forms, and documentation; performs additional duties as requested.
Other duties as requested or assigned.
Qualifications Level 1
High school diploma or equivalent required.
Minimum three (3) years of patient pre‑services coordinator or equivalent experience required.
Proficiency with computer systems and Microsoft Office (Word and Excel) required.
Demonstrated knowledge of CPT coding and HCPCS coding application.
Clear verbal communication skills and correct terminology usage.
Completion of required e‑learning courses within 90 days of appointment.
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 of pre‑services coordinator experience and two (2) years of patient benefits experience required.
Demonstrated knowledge and appropriate application of insurance coverage benefits and terminology.
Competencies
Possesses up‑to‑date knowledge of the profession and industry; regarded as a subject‑matter expert.
Demonstrates adaptability in handling day‑to‑day work challenges with flexibility and resilience.
Uses sound judgment to make timely, cost‑effective decisions under uncertainty.
Exhibits high work commitment, sets aggressive goals, and works efficiently to achieve them.
Commits to quality by defining and following standards, evaluating processes, and improving efficiency.
Physical Demands Requires presence at the employee site during scheduled business hours; duties include sitting, standing, walking, talking, hearing, full body motion, handling and lifting up to 40 lb., and maintaining corrected vision and hearing within the normal range.
Work Environment Work may involve exposure to communicable diseases and toxic substances typical of an oncology clinic environment. Interaction with co‑workers, management, and clients is required. Minimal travel by automobile to office sites may be needed.
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