Patient Benefits Representative Sr

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 Oncology Department at our 3410 Worth Street clinic in Dallas, Texas. Typical work week is Monday through Friday, 8:30 a.m. – 5:00 p.m. The position offers career growth and development opportunities. This position may be Level 1 or Senior depending on relevant candidate experience. What does the Patient Benefits Representative do? The Patient Benefits Representative, under general supervision, is responsible for educating patients on insurance coverage and benefits. They assess patients’ financial ability and may educate patients on assistance programs. They update and maintain patients’ insurance eligibility, coverage, and benefits in the system, and support compliance with the US Oncology Compliance Program. Responsibilities Prior to a patient receiving treatment, obtain insurance coverage information and demographics; educate patient on coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses. Assess patients’ ability to meet expenses and discuss payment arrangements. Educate patients on financial assistance programs and identify resources. Complete Patient Cost Estimate form based on diagnosis and coverage. Complete appropriate reimbursement and liability forms for patient review and signature; forward forms to billing office. Obtain insurance pre‑authorization or referral approval codes from Clinical Reviewer before 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) to allow front desk to collect appropriately. At each patient visit, verify and update demographics and insurance coverage in the computer system according to SOPs. Stay current on available financial aid. Develop professional relationships and network with providers to obtain leads for aid programs. Adhere to confidentiality, state, federal, and HIPAA laws and guidelines regarding patients’ records. Maintain updated manuals, logs, forms, and documentation. Perform additional duties as requested. Qualifications The ideal candidate will have the following background and experience. Level 1 High school diploma or equivalent. Minimum three (3) years experience as patient pre‑services coordinator or equivalent. Proficiency with computer systems and Microsoft Office (Word and Excel). Knowledge of CPT coding and HCPCS coding application. Verbal communication skills with correct terminology. Ability to complete required e‑learning courses within 90 days of position start. Level Senior (in addition to Level 1 requirements) Associate’s degree in Finance, Business or four years of revenue cycle experience preferred. Minimum three (3) years pre‑services coordinator experience and two (2) years of patient benefits experience required. Demonstrated knowledge and application of insurance coverage benefits and terminology. Competencies Technical and functional knowledge – up‑to‑date industry knowledge; regarded as an expert; uses resources appropriately. Adaptability – handles day‑to‑day challenges confidently, adjusts to multiple demands, and remains flexible. Sound judgment – makes timely, cost‑effective decisions under uncertainty. Work commitment – sets high standards and pursues aggressive goals efficiently. Quality focus – emphasizes delivering quality products/services and manages improvement. Physical Demands Requirements include presence at site during regularly scheduled hours; sit or stand; move and lift patients; handle and lift up to 40 lbs; correct vision and hearing. Reasonable accommodations may be provided. Work Environment Work involves exposure to communicable diseases, chemicals, radiation, and other conditions common to an oncology clinic. Interaction with co‑workers, management, and clients; occasional minimal travel by automobile. #J-18808-Ljbffr US Oncology