Texas Oncology
Patient Benefits Representative Sr
Texas Oncology – 1957 Antilley Road Clinic, Abilene, Texas. Abilene, TX.
Position Summary This full‑time role supports the Revenue Cycle Department at the Texas Oncology clinic. Typical work week is Monday through Friday, 8:30 a.m.–5:00 p.m. The position may be Level 1 or Senior depending on relevant candidate experience.
Overview The U.S. Oncology Network is looking for a Patient Benefits Representative to join our team at Texas Oncology. Texas Oncology is the largest community oncology provider in the country and treats half of all Texans diagnosed with cancer annually. The mission is to deliver high‑quality, evidence‑based cancer care with a focus on accessibility and community support.
Responsibilities
Prior to a patient receiving treatment, obtain insurance coverage information and demographics; educate patient on insurance coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses.
Assess patients’ ability to meet expenses and discuss payment arrangements. May educate patients on financial assistance programs, identify sources, and assist with completing forms. Complete Patient Cost Estimate form based upon diagnosis, estimated insurance coverage, and financial assistance.
Complete appropriate reimbursement and liability forms for patient’s review and signature; forward information and forms to billing office.
Obtain insurance pre‑authorization or referral approval codes from Clinical Reviewer 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 system (or conveyed) allowing front desk to collect appropriately.
At each patient visit, verify and update demographics and insurance coverage in computer system according to SOPs.
Stay current on available financial aid and develop professional relationships with aid providers; 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; minimum three (3) years patient pre‑services coordinator or equivalent; proficiency with computer systems and Microsoft Office (Word, Excel); knowledge of CPT coding and HCPCS coding application; verbal communication skills; completion of required e‑learning courses within 90 days.
Level Sr
– Associates degree in Finance, Business or four years revenue cycle experience preferred; minimum three (3) years pre‑services coordinator experience and two (2) years patient benefits experience; demonstrate knowledge and application of insurance coverage benefits and terminology.
Competencies
Technical/Functional Experience – up‑to‑date knowledge of the profession and industry; accesses and uses other expert resources when appropriate.
Adaptability – handles day‑to‑day 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.
Sound Judgment – makes timely, cost‑effective and sound decisions under uncertainty.
Work Commitment – sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
Commitment to Quality – emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluates products, processes, and services against those standards; manages quality and improves efficiencies.
Physical Demands & Work Environment Required to sit or stand, talk or hear during regular business hours; handle and lift patients; manual and finger dexterity, eye‑hand coordination; stand and walk for extended periods; occasionally lift up to 40 lbs; corrected vision and hearing to normal range. Work may involve exposure to communicable diseases, toxic substances, ionizing radiation, and other conditions common to an oncology clinic. Minimal travel by automobile to office sites may be required.
Additional Information Seniority Level: Mid‑Senior Employment Type: Full‑time Job Function: Human Resources | Industries: Hospitals and Health Care
Salary: $65,000.00–$90,000.00 (Abilene, TX).
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Position Summary This full‑time role supports the Revenue Cycle Department at the Texas Oncology clinic. Typical work week is Monday through Friday, 8:30 a.m.–5:00 p.m. The position may be Level 1 or Senior depending on relevant candidate experience.
Overview The U.S. Oncology Network is looking for a Patient Benefits Representative to join our team at Texas Oncology. Texas Oncology is the largest community oncology provider in the country and treats half of all Texans diagnosed with cancer annually. The mission is to deliver high‑quality, evidence‑based cancer care with a focus on accessibility and community support.
Responsibilities
Prior to a patient receiving treatment, obtain insurance coverage information and demographics; educate patient on insurance coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses.
Assess patients’ ability to meet expenses and discuss payment arrangements. May educate patients on financial assistance programs, identify sources, and assist with completing forms. Complete Patient Cost Estimate form based upon diagnosis, estimated insurance coverage, and financial assistance.
Complete appropriate reimbursement and liability forms for patient’s review and signature; forward information and forms to billing office.
Obtain insurance pre‑authorization or referral approval codes from Clinical Reviewer 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 system (or conveyed) allowing front desk to collect appropriately.
At each patient visit, verify and update demographics and insurance coverage in computer system according to SOPs.
Stay current on available financial aid and develop professional relationships with aid providers; 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; minimum three (3) years patient pre‑services coordinator or equivalent; proficiency with computer systems and Microsoft Office (Word, Excel); knowledge of CPT coding and HCPCS coding application; verbal communication skills; completion of required e‑learning courses within 90 days.
Level Sr
– Associates degree in Finance, Business or four years revenue cycle experience preferred; minimum three (3) years pre‑services coordinator experience and two (2) years patient benefits experience; demonstrate knowledge and application of insurance coverage benefits and terminology.
Competencies
Technical/Functional Experience – up‑to‑date knowledge of the profession and industry; accesses and uses other expert resources when appropriate.
Adaptability – handles day‑to‑day 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.
Sound Judgment – makes timely, cost‑effective and sound decisions under uncertainty.
Work Commitment – sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
Commitment to Quality – emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluates products, processes, and services against those standards; manages quality and improves efficiencies.
Physical Demands & Work Environment Required to sit or stand, talk or hear during regular business hours; handle and lift patients; manual and finger dexterity, eye‑hand coordination; stand and walk for extended periods; occasionally lift up to 40 lbs; corrected vision and hearing to normal range. Work may involve exposure to communicable diseases, toxic substances, ionizing radiation, and other conditions common to an oncology clinic. Minimal travel by automobile to office sites may be required.
Additional Information Seniority Level: Mid‑Senior Employment Type: Full‑time Job Function: Human Resources | Industries: Hospitals and Health Care
Salary: $65,000.00–$90,000.00 (Abilene, TX).
#J-18808-Ljbffr