Patient Benefit Representative

Overview

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 Medical and Radiation Oncology Departments at our 6204 Balcones clinic in Austin, Texas. Typical work week is Monday through Friday, 8:00a - 4:30p.

Note from Hiring Manager:

• As a leader, I strive to create a work environment where expectations are clear and support is readily available. I work to set clear standards, remove obstacles where I can, and offer direct, timely feedback so people can grow without having to guess. I believe strong teams are built through predictable processes, open communication, and a shared commitment to doing the work the right way and I see my role as continuously learning how to better support the people doing that work.
• The clinic itself provides stable hours, consistent patient volume and a mission that is easy to support: helping patients understand their coverage and reducing financial stress. Staff get exposure to multiple parts of the revenue cycle, which builds useful experience for future roles. The work is structured, patient focused and tied to clear outcomes, which helps people see the impact of their efforts.

The position will be a level 1 or Sr depending on relevant candidate experience.

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.

The Patient Benefits Representative, under general supervision, is responsible for educating patients on insurance coverage and benefits. Assess patients’ financial ability; may educate patients on assistance programs. Updates and maintains existing patient insurance eligibility, coverage, and benefits in the system. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology’s Shared Values.

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

• Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assesses patients’ ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms. Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form.
• Completes appropriate reimbursement and liability forms for patient’s review and signature. Forwards appropriate information and forms to billing office.
• Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.
• Review patient account balance and notify front desk of patients to meet with
• Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately
• At each patient visit,…