Patient Benefits Representative

Overview US Oncology Network is looking for a Patient Benefits Representative to join our team at Texas Oncology . This full‑time position supports the Medical/Radiation Oncology Departments at our 690 N. 14th Street 3rd Floor clinic in Beaumont, Texas. The typical work week is Monday through Friday, 8:30 a.m. – 5:00 p.m. Note from Hiring Manager: Texas Oncology – Beaumont offers the opportunity to work in a dynamic, high‑volume oncology clinic where no two days are the same. You’ll be part of a supportive team dedicated to helping patients navigate their financial journey so they can focus on what matters most—their care. Our leadership team is committed to creating an environment where employees feel valued, supported, and empowered through open communication, collaboration, and professional development. If you’re looking for meaningful work, a strong team culture, and opportunities to grow, we’d love to have you join us. This position will be level 1 or Sr depending on relevant candidate experience. The US Oncology Network and Texas Oncology deliver high‑quality, evidence‑based care to patients near home. Texas Oncology is the largest community oncology provider in the country, with approximately 530 providers in 280+ sites across Texas. Our mission is to make the best available cancer care accessible to all communities, helping patients fight cancer at home with the support of family and friends nearby. What does the Patient Benefits Representative do? The Patient Benefits Representative, under general supervision, is responsible for educating patients on insurance coverage and benefits. The role includes assessing patients’ financial ability, educating them about assistance programs, and maintaining up‑to‑date patient insurance eligibility, coverage, and benefits in the system. The representative supports and adheres to the US Oncology Compliance Program, the Code of Ethics and Business Standards, and US Oncology’s Shared Values. 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, and provide assistance with completing financial aid forms. Complete Patient Cost Estimate form based on diagnosis, estimated coverage, and assistance. Complete reimbursement and liability forms for patient review and signature; forward information and 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 patient co‑pay amount is correctly entered into system to allow 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 providers, and network to obtain leads to other aid programs. Adhere to confidentiality 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 of patient pre‑services coordinator or equivalent experience required. Proficiency with computer systems and Microsoft Office (Word and Excel) required. Demonstrated knowledge of CPT coding and HCPCS coding application. Must be able to verbally communicate clearly and use appropriate terminology. Must successfully complete required e‑learning courses within 90 days of occupying position. Level Sr (in addition to Level 1 requirements) Associate’s degree in Finance, Business, or four years of revenue cycle experience preferred. Minimum three (3) years of pre‑services coordinator experience and two (2) years of patient benefits experience required. Must demonstrate knowledge and appropriate application of insurance coverage, benefits, and terminology. Competencies Technical and Functional Experience: Possesses up‑to‑date knowledge of the profession and industry; regarded as an expert in the technical/functional area; accesses and uses other expert resources when appropriate. 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. Sound Judgment: Makes timely, cost‑effective, and sound decisions; makes decisions under conditions of 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 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 of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and 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 lb. Requires corrected vision and hearing in the 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 and management and/or clients. Work may require minimal travel by automobile to office sites. #J-18808-Ljbffr