Patient Services Representative

The US Oncology Network is looking for a Patient Services Representative to join our team at Texas Oncology . This full-time position will support the Gynecology Oncology department at the South Austin location. This is a full-time Monday-Friday 8:30am-5pm position with no weekends, call, or major holidays .

This position can be a level 1, 2, or Sr based on candidate experience.

Notes from hiring manager: At Texas Oncology South Austin Gynecologic Oncology, you will join a team dedicated to making a meaningful difference in the lives of patients and their families. Our clinic fosters a supportive, collaborative environment where every team member is valued and plays an important role in delivering exceptional patient care.

As a part of The US Oncology Network , Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

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.

What does the Patient Services Representative do?

Under direct supervision, performs general business office functions that may include some or all of the following: billing and claim submissions; charge capture and payment posting; insurance verification and eligibility; obtaining pre-authorization; counseling patients and families on insurance and payment issues; and account follow-up and payment resolution. As necessary, assists patients and families with obtaining community resources including, but not limited to, housing, transportation, and financial support. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

The essential duties and responsibilities (including but not limited to):

• Answers all incoming calls; assesses callers' needs and directs to appropriate personnel and pages clinic personnel as appropriate. Obtains and communicates messages in an accurate and timely manner.
• Schedules new patients, patient referrals and returning patients in computer system in accordance with physician and/or office guidelines. For new and or referred patients, sets up in system with appropriate documentation and coding. Cancels/reschedules appointments according to physician schedule changes; notifies appropriate clinic personnel.
• Obtains and enters all insurance authorization, and correspondence relating to referrals in patients charts and/or electronic medical records (EMR).
• Collects co-pays, deductible and other out of pocket amounts at time of visit.
• Maintains primary office scheduling template containing physician meetings, satellite schedule, rounding and call coverage.
• Arranges for patients to have financial counseling as needed.
• Demonstrates an understanding of patient confidentiality to protect the patient and clinic/practice.
• Follows policies and procedures to contribute to the efficiency of the front office. Covers for other front office functions as requested.
• Prepares correspondence, memos, forms and other typing as requested by supervisor.
• May schedule outpatient appointments/testing/surgeries and hospital admissions upon request. Obtains necessary pre-certification as required.
• May communicate to patient about surgeries or tests being scheduled and potential prep work needed, inquiring about test specifics from necessary parties and gathering patient information as needed
• May be responsible for follow up on all pre-operative tests to ensure cleared for surgical procedure and communicates with physician and patients if further testing is required before surgery is performed.
• May be responsible for scheduling post-operative follow up appointments with Physicians.
• Where applicable, basic understanding of medical terminology for tests and surgical procedures, including coding and ability to look up codes specific to diagnosis, surgery and scheduling procedure.

The ideal candidate for the Patient Services Representative will have the following background and experience:

Level 1

• High School Diploma or equivalent required.
• This position is entry level and requires 0-3 years of medical business office experience.

Level 2 (in addition to level 1 requirements)

• Minimum 3 to 5 years medical business office experience.

Level Sr (in addition to level 1 and 2 requirements)

• Minimum five years medical business office experience.

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 regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges. Requires vision and hearing corrected to normal ranges.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work requires frequent interaction with patients and staff.