Patient Benefits Representative - MCD

Overview Patient Benefits Representative at Texas Oncology. Full‑time, Monday‑Friday, 8:30 a.m. – 5:00 p.m. Level 1 or Senior, depending on experience. Supports the Medical Oncology/Research Departments at 7777 Forest Lane #D400 clinic in Dallas, Texas. Texas Oncology is part of the U.S. Oncology Network, a large community oncology provider. Responsibilities Obtain insurance coverage information and demographics prior to treatment and educate patients on coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses. Assess patients’ ability to meet expenses, discuss payment arrangements, and educate on financial assistance programs while identifying sources and assisting with completing forms. Complete patient cost estimate forms based on diagnosis, estimated coverage, and financial assistance. Complete reimbursement and liability forms for patient review and signature, forwarding them to the billing office as required. Obtain insurance pre‑authorization or referral approval codes from the Clinical Reviewer prior to each treatment. Review patient account balances and notify the front desk of patients to meet with. Ensure the correct entry of patient co‑pay amounts into the system or convey them to front desk for proper collection. At each patient visit, verify and update demographics and insurance coverage in the computer system according to Standard Operating Procedures. Stay current on available financial aid, develop professional relationships with financial aid providers, and network to obtain leads to additional programs. Adhere to confidentiality, state, federal, and HIPAA laws and guidelines concerning patient records. Maintain updated manuals, logs, forms, and documentation; perform additional duties as requested. Carry out other duties as requested or assigned. Qualifications High school diploma or equivalent (Level 1). Minimum three (3) years as a patient pre‑services coordinator or equivalent (Level 1). Proficiency with computer systems and Microsoft Office (Word and Excel). Knowledge of CPT and HCPCS coding and application. Clear verbal communication skills with correct terminology. Completion of required e‑learning courses within 90 days of occupation. Associate’s degree in Finance, Business, or four years of revenue cycle experience preferred (Senior level). Minimum three (3) years as a pre‑services coordinator and two (2) years of patient benefits experience (Senior level). Demonstrated knowledge and appropriate application of insurance coverage benefits and terminology (Senior level). Competencies Technical and functional expertise in the field, with a readiness to seek additional resources when needed. Adaptability to day‑to‑day challenges, multiple demands, shifting priorities, ambiguity, and rapid change, showing resilience and flexibility. Sound judgment, making timely and cost‑effective decisions under uncertainty. Commitment to quality and performance, setting high standards and pursuing aggressive goals efficiently. Work commitment, setting high standards of performance and pursuing goals efficiently. Quality commitment, developing and evaluating standards for quality, managing quality, and improving efficiencies. Physical Demands Requires presence at the employee site during regular business hours, sitting or standing, talking or hearing; full range of body motion including handling and lifting patients; manual and finger dexterity; eye‑hand coordination. Occasionally lifts items weighing up to 40 lb. Requires corrected vision and hearing within normal range. Reasonable accommodations may be provided. Work Environment Includes exposure to communicable diseases, toxic substances, ionizing radiation, and medical preparations typical of an oncology clinic environment. Work involves in‑person interaction with co‑workers, management, and clients, with occasional travel by automobile to office sites. #J-18808-Ljbffr US Oncology Network-wide Career Opportunities