Maryland Oncology Hematology
Patient Benefits Representative - Remote
Maryland Oncology Hematology, Richardson, Texas, United States, 75080
Patient Benefits Representative - Remote
5 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 3001 E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday, 8:00 a.m. – 5:00 p.m.
Note from Hiring Manager: This position will support the entire state of Texas.
This position will be a level 1 or Sr depending on relevant candidate experience.
The US Oncology Network
delivers high‑quality, evidence‑based care to patients close to home.
Texas Oncology , the largest community oncology provider in the country, has approximately 530 providers in 280+ sites across Texas. Our mission is to make the best available cancer care accessible to all communities, allowing patients to fight cancer at home with the critical support of family and friends nearby. 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. Supported by
McKesson Corporation , it focuses on empowering a vibrant and sustainable community patient care delivery system.
What does the Patient Benefits Representative do? Under general supervision, the Patient Benefits Representative educates patients on insurance coverage and benefits, assesses patients’ financial ability, and may educate patients on assistance programs. They update and maintain existing patient insurance eligibility, coverage, and benefits in the system while supporting and adhering to the US Oncology Compliance Program.
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, discuss payment arrangements, educate patients on financial assistance programs, and identify sources of assistance. Based on diagnosis, estimated insurance coverage, and financial assistance, complete a Patient Cost Estimate form.
Complete appropriate reimbursement and liability forms for patient’s review and signature; forward appropriate information and forms to 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 system (or conveyed), enabling front desk to collect appropriately.
At each patient visit, verify and update demographics and insurance coverage in the computer system according to Standard Operating Procedures (SOPs).
Stay current on available financial aid, develop professional relationships with financial 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 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.
Must be able to verbally communicate clearly and utilize the appropriate and correct 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 years revenue cycle experience preferred.
Minimum three (3) years pre‑services coordinator experience and two (2) years of patient benefits experience required.
Must be able to demonstrate 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; regarded as an expert in the technical/functional area.
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, or 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/or services; defines standards for quality and evaluates products, processes, and service against those standards; manages quality; improves efficiencies.
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. While performing the duties, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand, talk, or hear. 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. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
Work Environment The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in‑person interaction with co‑workers, management, and/or clients. Work may require minimal travel by automobile to office sites.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Human Resources
Industries Hospitals and Health Care
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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 3001 E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday, 8:00 a.m. – 5:00 p.m.
Note from Hiring Manager: This position will support the entire state of Texas.
This position will be a level 1 or Sr depending on relevant candidate experience.
The US Oncology Network
delivers high‑quality, evidence‑based care to patients close to home.
Texas Oncology , the largest community oncology provider in the country, has approximately 530 providers in 280+ sites across Texas. Our mission is to make the best available cancer care accessible to all communities, allowing patients to fight cancer at home with the critical support of family and friends nearby. 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. Supported by
McKesson Corporation , it focuses on empowering a vibrant and sustainable community patient care delivery system.
What does the Patient Benefits Representative do? Under general supervision, the Patient Benefits Representative educates patients on insurance coverage and benefits, assesses patients’ financial ability, and may educate patients on assistance programs. They update and maintain existing patient insurance eligibility, coverage, and benefits in the system while supporting and adhering to the US Oncology Compliance Program.
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, discuss payment arrangements, educate patients on financial assistance programs, and identify sources of assistance. Based on diagnosis, estimated insurance coverage, and financial assistance, complete a Patient Cost Estimate form.
Complete appropriate reimbursement and liability forms for patient’s review and signature; forward appropriate information and forms to 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 system (or conveyed), enabling front desk to collect appropriately.
At each patient visit, verify and update demographics and insurance coverage in the computer system according to Standard Operating Procedures (SOPs).
Stay current on available financial aid, develop professional relationships with financial 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 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.
Must be able to verbally communicate clearly and utilize the appropriate and correct 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 years revenue cycle experience preferred.
Minimum three (3) years pre‑services coordinator experience and two (2) years of patient benefits experience required.
Must be able to demonstrate 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; regarded as an expert in the technical/functional area.
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, or 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/or services; defines standards for quality and evaluates products, processes, and service against those standards; manages quality; improves efficiencies.
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. While performing the duties, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand, talk, or hear. 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. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
Work Environment The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in‑person interaction with co‑workers, management, and/or clients. Work may require minimal travel by automobile to office sites.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Human Resources
Industries Hospitals and Health Care
#J-18808-Ljbffr