Patient Benefits Representative

Patient Benefits Representative – Texas Oncology, Keller, TX 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 100 Bourland Road clinic in Keller, Texas. Typical work week is Monday through Friday, 7:30 am – 4:00 pm. The position may be at Level 1 or Senior, depending on relevant candidate experience. 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 and discuss payment arrangements; educate patients on financial assistance programs and help complete forms. Based on diagnosis, estimated insurance coverage, and financial assistance, complete Patient Cost Estimate form. Complete appropriate reimbursement and liability forms for patient review and signature; forward information and forms to the billing office. Obtain insurance pre‑authorization or referral approval codes from the Clinical Reviewer before each treatment. Review patient account balance and notify front desk of patients who need to be met. Ensure that patient co‑pay amount is correctly entered into the 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 with aid providers; network with providers to generate leads for additional aid programs. Adhere to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records. Maintain updated manuals, logs, forms, and documentation; perform additional duties as requested. Perform other duties as requested or assigned. Qualifications Level 1 High school diploma or equivalent required. Minimum three (3) years of experience as a patient pre‑services coordinator or equivalent required. Proficiency with computer systems and Microsoft Office (Word and Excel) required. Demonstrate knowledge of CPT coding and HCPS coding application. Clear verbal communication skills with 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 & Functional Experience – Possesses up‑to‑date knowledge of the profession and industry; regarded as a subject matter expert when appropriate. Adaptability – Handles day‑to‑day work challenges confidently; willing to adjust to multiple demands, shifting priorities, ambiguity and rapid change; demonstrates resilience and flexibility. Sound Judgment – Makes timely, cost‑effective decisions under uncertain conditions. Work Commitment – Sets high performance standards; pursues aggressive goals and works efficiently to achieve them. Commitment to Quality – Emphasizes the need to deliver quality services; defines standards, evaluates processes and service against those standards, manages quality, and improves efficiencies. Physical Demands The physical demands described here are representative of those required to perform the essential functions of this job. Reasonable accommodations may be made for disabilities. The employee must be present at the site during scheduled business hours, sit or stand, talk or hear. Requires full range of body motion, handling/lifting patients, manual and finger dexterity, eye‑hand coordination, standing and walking for extensive periods, occasionally lifting items up to 40 lb., and normal vision and hearing. Work Environment The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations, and other conditions common to an oncology clinic. It involves in‑person interaction with co‑workers, management, and patients; may require occasional automobile travel to office sites. #J-18808-Ljbffr US Oncology Network-wide Career Opportunities