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About the Role

The Patient Benefits Representative plays a key role in supporting patients throughout their care journey by assisting with insurance benefits, authorizations, and financial responsibilities. This role requires clear communication, attention to detail, and compassionate support to create a smooth and positive experience for patients and their families.

Responsibilities

Educate patients on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses prior to treatment.
Assess patients' ability to meet expenses and discuss payment arrangements.
Educate patients on financial assistance programs and assist with completing forms.
Complete Patient Cost Estimate forms based on diagnosis, estimated insurance coverage, and financial assistance.
Complete and forward reimbursement and liability forms to the billing office.
Obtain insurance pre-authorization or referral approval codes prior to each treatment.
Review patient account balances and notify the front desk of patients requiring discussion.
Ensure correct entry of patient co-pay amounts into the system for collection.
Verify and update patient demographics and insurance coverage in the computer system at each visit.
Stay current on available financial aid and develop professional relationships with financial aid providers.
Adhere to confidentiality, state, federal, and HIPPA laws and guidelines.
Maintain updated manuals, logs, forms, and documentation.
Perform additional duties as requested or assigned.

Requirements

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 appropriate and correct terminology.
Must successfully complete required e-learning courses within 90 days of occupying position.
Associates degree in Finance, Business or four years revenue cycle experience preferred (for Sr. level).
Minimum three (3) years pre-services coordinator experience and two (2) years of patient benefits experience required (for Sr. level).
Must be able to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology.
Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded a san expert in the technical/functional area; accesses and uses other expert resources when appropriate.
Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience inn 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 evaluated products, processes, and service against those standards; manages quality; improves efficiencies.
Employee is required to be present at the employee site during regularly scheduled business hours.
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 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 and management and/or clients.
Work may require minimal travel by automobile to office sites.

Skills

Computer systems proficiency
Microsoft Office (Word, Excel)
CPT coding
HCPS coding
Verbal communication
Insurance coverage benefits
Insurance terminology

Location

Austin, Texas

Work Type

Full-time
Onsite

Experience Level

Level 1 or Sr. depending on experience

Education Level

High school diploma or equivalent
Associates degree in Finance or Business (preferred for Sr. level)

About the Company

The US Oncology Network is looking for a Patient Benefits Representative to join our team at Texas Oncology.
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.
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 US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.