Patient Benefits Representative Garland

Overview The US Oncology Network is looking for a Patient Benefits Representative to join our team at Texas Oncology. This full‑time position supports the Medical Oncology Business Office at our 7150 N. President George Bush Highway Suite 200 clinic in Garland, Texas. Typical work week is Monday through Friday, 8:00 a.m. – 5:00 p.m. The role may be a Level 1 or Senior, depending on relevant candidate experience. Texas Oncology is the largest community oncology provider in the country, serving half of all Texans diagnosed with cancer annually. As part of the US Oncology Network, Texas Oncology delivers high‑quality, evidence‑based care close to home, using technology and research to achieve “More breakthroughs. More victories.” Your work will help patients achieve these outcomes. Note from Hiring Manager: Being a Patient Benefits Representative means helping people through one of the hardest times in their lives while navigating the financial side of cancer care. It’s not always easy, but it’s incredibly rewarding. Every day, we get to be a source of support, clarity, and kindness for patients and their families. Having been through the journey with loved ones, I know how overwhelming it can be. That’s why I’m passionate about creating a team environment where everyone feels supported, encouraged, and equipped to do their best. We communicate openly, help each other out, and celebrate wins, big or small. What does the Patient Benefits Representative do? The Patient Benefits Representative, under general supervision, educates patients about insurance coverage and benefits, assesses their financial ability, provides information on assistance programs, and maintains patient insurance eligibility, coverage, and benefits in the system. The role supports compliance with the US Oncology Compliance Program and Shared Values. Essential duties and responsibilities Before a patient receives treatment, obtains insurance coverage information and demographics; educates patient on coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses. Assesses patient’s ability to meet expenses, discusses payment arrangements, educates patients on financial assistance programs, identifies sources, and assists with completing forms. Completes Patient Cost Estimate form based on diagnosis, estimated coverage, and assistance. Completes appropriate reimbursement and liability forms, forwards them to the billing office for patient review and signature. Obtains insurance pre‑authorization or referral approval codes from the Clinical Reviewer before each treatment. Reviews patient account balance and notifies the front desk of patients to meet with. Ensures that patient co‑pay amount is correctly entered into the system (or conveyed), allowing front desk to collect appropriately. At each patient visit, verifies and updates demographics and insurance coverage in the computer system according to SOPs. Stays current on available financial assistance; develops professional relationships with providers; networks to obtain leads to other aid programs. Adheres to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records. Maintains updated manuals, logs, forms, and documentation; performs additional duties as requested. Other duties as requested or assigned. Qualifications Level 1 High school diploma or equivalent required. Minimum three (3) years’ experience as a patient pre‑services coordinator or equivalent required. Proficiency with computer systems and Microsoft Office (Word and Excel) required. Knowledge of CPT coding and HCPCS coding application. Effective verbal communication and correct terminology usage. Must successfully complete required e‑learning courses within 90 days of occupying the position. Level Sr (in addition to Level 1 requirements) Associate degree in Finance, Business, or four years of revenue cycle experience preferred. Minimum three (3) years’ pre‑services coordinator experience and two (2) years’ patient benefits experience required. Demonstrated knowledge and appropriate application of insurance coverage benefits and terminology. Competencies Uses technical and functional experience: possesses up‑to‑date knowledge, regarded as an expert, and accesses other resources when appropriate. Demonstrates adaptability: handles day‑to‑day challenges confidently, adjusts to multiple demands, shifting priorities, ambiguity, and rapid change; shows resilience. Uses sound judgment: makes timely, cost‑effective decisions under uncertainty. Shows work commitment: sets high performance standards and works efficiently to achieve aggressive goals. Commits to quality: emphasizes delivering quality products or services, defines standards, evaluates processes, manages quality, and improves efficiencies. Physical Demands The physical demands described here are representative of those that must be met to successfully perform the essential functions of this job. While performing the duties, the employee is required to sit or stand, talk or hear, handle and lift patients, perform manual and finger dexterity, and maintain 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 within 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 involves in‑person interaction with co‑workers, management, and/or clients. May require minimal travel by automobile to office sites. #J-18808-Ljbffr Texas Oncology