Patient Benefits Representative Sr

Overview The US Oncology Network is looking for a Patient Benefits Representative to join 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‑5:00 p. This position is a Level 1 or Senior role, depending on 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, assessing financial ability, and updating patient insurance information in the system. The role supports compliance with the US Oncology Compliance Program. Responsibilities Obtain insurance coverage information and demographics prior to patient treatment and educate patients on coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses. Assess patient ability to meet expenses, discuss payment arrangements, and educate patients on financial assistance programs. Complete Patient Cost Estimate forms based on diagnosis, estimated coverage, and assistance. Complete reimbursement and liability forms for patient review and signature; forward information to the billing office. Obtain insurance pre‑authorization or referral approval codes from Clinical Reviewer before each treatment. Review patient account balances and notify the front desk of patient interactions as needed. Ensure correct entry of patient co‑pay amounts for accurate front desk collection. Verify and update patient demographics and insurance coverage at each visit according to SOPs. Stay current on available financial aid programs, develop relationships with providers, and network for additional aid opportunities. Adhere to confidentiality, state, federal, and HIPAA laws and guidelines related to patient records. Maintain updated manuals, logs, forms, and documentation; perform additional duties as requested. Qualifications Level 1 High school diploma or equivalent. Minimum three (3) years of pre‑services coordinator or equivalent experience. Proficiency with computer systems and Microsoft Office (Word and Excel). Knowledge of CPT coding and HCPCS coding applications. Effective verbal communication and use of correct terminology. Completion of required e‑learning courses within 90 days of starting the position. Level Senior (additional 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. Demonstrated knowledge and application of insurance coverage, benefits, and terminology. Competencies Technical and functional expertise in the profession. Adaptability to changing priorities and demands. Sound judgment and timely decision‑making. Strong work commitment and pursuit of performance goals. Commitment to quality and continuous improvement. Physical Demands The role requires presence during business hours, frequent sitting or standing, talking, hearing, handling, and lifting patients or items up to 40 lbs, and full range of body motion. Reasonable accommodations may be provided. Work Environment Typical workplace involves exposure to communicable diseases, toxic substances, ionizing radiation, and medical preparations common to an oncology clinic. Interaction with co‑workers and clients, with occasional travel by automobile, is expected. #J-18808-Ljbffr The US Oncology Network