Maryland Oncology Hematology
Patient Benefits Representative
Maryland Oncology Hematology, Mcallen, Texas, United States, 78501
Join to apply for the
Patient Benefits Representative
role at
Maryland Oncology Hematology .
4 days ago – be among the first 25 applicants.
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
Revenue Cycle Department
at our 1901 S. 2nd Street clinic in McAllen, Texas. Typical work week is Monday through Friday, any eight hours between 7:30 a.m. and 5:00 p.m.
Note from Hiring Manager:
Our clinic offers a mission‑driven environment where patient‑centered care, clinical excellence, and operational integrity are genuinely valued. Team members benefit from collaborative leadership, clear expectations, and the opportunity to make a measurable impact on patient outcomes and clinic performance. We invest in our people through professional development, process improvement initiatives, and a culture that emphasizes accountability, respect, and continuous improvement. This is an organization for professionals who want meaningful work, growth opportunities, and leadership that is engaged, supportive, and results‑oriented.
This position will be a 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 and has approximately 530 providers in 280+ sites across Texas. Our mission is to make the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission remains the same today – at
Texas Oncology , we use leading‑edge technology and research to deliver high‑quality, evidence‑based cancer care to help our patients achieve “More breakthroughs. More victories.” in their fight against cancer.
What does the Patient Benefits Representative do? The Patient Benefits Representative, under general supervision, is responsible for educating patients on insurance coverage and benefits, assessing patients' financial ability, and applying for assistance programs. The representative updates and maintains patients’ new insurance eligibility, coverage, and benefits in the system and supports compliance with the US Oncology Compliance Program.
Responsibilities
Obtain insurance coverage information and demographics before a patient receives treatment and educate the patient on coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses.
Assess patients’ ability to meet expenses, discuss payment arrangements, and educate patients on financial assistance programs. Complete Patient Cost Estimate forms based on diagnosis, estimated coverage, and assistance.
Complete appropriate reimbursement and liability forms for patient review and signature; forward the information to the billing office.
Obtain insurance pre‑authorization or referral approval codes from the Clinical Reviewer prior to each treatment.
Review patient account balances and notify front desk of patients to meet with.
Ensure that patient co‑pay amounts are correctly entered into the system or conveyed to allow front desk to collect appropriately.
Verify and update demographics and insurance coverage at each visit per SOPs.
Stay current on available financial aid, develop professional relationships with aid providers, and network to obtain leads to other aid 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 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.
Knowledge of CPT coding and HCPCS coding application.
Verbal communication must be clear and use appropriate terminology.
Must successfully complete required e‑learning courses within 90 days of occupying the position.
Level Sr (in addition to Level 1 requirements)
Associate’s degree in Finance, Business, or four‑year revenue cycle experience preferred.
Minimum three (3) years of 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
Technical expertise: up‑to‑date knowledge of the profession and industry; sought as a subject‑matter expert; accesses and uses expert resources when appropriate.
Adaptability: handles day‑to‑day work challenges confidently; willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change; demonstrates resilience in the face of constraints, frustrations, or adversity; shows flexibility.
Sound judgment: makes timely, cost‑effective and sound decisions under uncertainty.
Work commitment: sets high performance standards; pursues aggressive goals and works efficiently to achieve them.
Quality commitment: emphasizes delivering quality products or services; defines standards and evaluates results against them; manages quality and improves efficiencies.
Physical Demands Requires presence at the employee site during regular business hours. Requires sitting or standing, speaking or hearing. Requires full body motion, including handling and lifting patients, manual and finger dexterity, eye‑hand coordination. Requires standing and walking for extended periods. Occasionally lifts items up to 40 lbs. Requires corrected vision and hearing to normal range. Reasonable accommodations may be provided for disabilities.
Work Environment The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations, and other conditions common to an oncology clinic. Work involves in‑person interaction with coworkers, management, and clients; may require minimal car travel to office sites.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Human Resources
Industries Hospitals and Health Care
#J-18808-Ljbffr
Patient Benefits Representative
role at
Maryland Oncology Hematology .
4 days ago – be among the first 25 applicants.
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
Revenue Cycle Department
at our 1901 S. 2nd Street clinic in McAllen, Texas. Typical work week is Monday through Friday, any eight hours between 7:30 a.m. and 5:00 p.m.
Note from Hiring Manager:
Our clinic offers a mission‑driven environment where patient‑centered care, clinical excellence, and operational integrity are genuinely valued. Team members benefit from collaborative leadership, clear expectations, and the opportunity to make a measurable impact on patient outcomes and clinic performance. We invest in our people through professional development, process improvement initiatives, and a culture that emphasizes accountability, respect, and continuous improvement. This is an organization for professionals who want meaningful work, growth opportunities, and leadership that is engaged, supportive, and results‑oriented.
This position will be a 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 and has approximately 530 providers in 280+ sites across Texas. Our mission is to make the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission remains the same today – at
Texas Oncology , we use leading‑edge technology and research to deliver high‑quality, evidence‑based cancer care to help our patients achieve “More breakthroughs. More victories.” in their fight against cancer.
What does the Patient Benefits Representative do? The Patient Benefits Representative, under general supervision, is responsible for educating patients on insurance coverage and benefits, assessing patients' financial ability, and applying for assistance programs. The representative updates and maintains patients’ new insurance eligibility, coverage, and benefits in the system and supports compliance with the US Oncology Compliance Program.
Responsibilities
Obtain insurance coverage information and demographics before a patient receives treatment and educate the patient on coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses.
Assess patients’ ability to meet expenses, discuss payment arrangements, and educate patients on financial assistance programs. Complete Patient Cost Estimate forms based on diagnosis, estimated coverage, and assistance.
Complete appropriate reimbursement and liability forms for patient review and signature; forward the information to the billing office.
Obtain insurance pre‑authorization or referral approval codes from the Clinical Reviewer prior to each treatment.
Review patient account balances and notify front desk of patients to meet with.
Ensure that patient co‑pay amounts are correctly entered into the system or conveyed to allow front desk to collect appropriately.
Verify and update demographics and insurance coverage at each visit per SOPs.
Stay current on available financial aid, develop professional relationships with aid providers, and network to obtain leads to other aid 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 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.
Knowledge of CPT coding and HCPCS coding application.
Verbal communication must be clear and use appropriate terminology.
Must successfully complete required e‑learning courses within 90 days of occupying the position.
Level Sr (in addition to Level 1 requirements)
Associate’s degree in Finance, Business, or four‑year revenue cycle experience preferred.
Minimum three (3) years of 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
Technical expertise: up‑to‑date knowledge of the profession and industry; sought as a subject‑matter expert; accesses and uses expert resources when appropriate.
Adaptability: handles day‑to‑day work challenges confidently; willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change; demonstrates resilience in the face of constraints, frustrations, or adversity; shows flexibility.
Sound judgment: makes timely, cost‑effective and sound decisions under uncertainty.
Work commitment: sets high performance standards; pursues aggressive goals and works efficiently to achieve them.
Quality commitment: emphasizes delivering quality products or services; defines standards and evaluates results against them; manages quality and improves efficiencies.
Physical Demands Requires presence at the employee site during regular business hours. Requires sitting or standing, speaking or hearing. Requires full body motion, including handling and lifting patients, manual and finger dexterity, eye‑hand coordination. Requires standing and walking for extended periods. Occasionally lifts items up to 40 lbs. Requires corrected vision and hearing to normal range. Reasonable accommodations may be provided for disabilities.
Work Environment The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations, and other conditions common to an oncology clinic. Work involves in‑person interaction with coworkers, management, and clients; may require minimal car travel to office sites.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Human Resources
Industries Hospitals and Health Care
#J-18808-Ljbffr