Patient Benefits Representative - Remote

Patient Benefits Representative - Remote

5 days ago – Be among the first 25 applicants.

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 Revenue Cycle Department at our 3001

E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday, 8:00 a.m. – 5:00 p.m.

Note from Hiring Manager:
This position will support the entire state of Texas.

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

The US Oncology Network delivers high‑quality, evidence‑based care to patients close to home.
Texas Oncology
, the largest community oncology provider in the country, has approximately 530 providers in 280+ sites across Texas. Our mission is to make the best available cancer care accessible to all communities, allowing patients to fight cancer at home with the critical support of family and friends nearby. 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. Supported by McKesson Corporation
, it focuses on empowering a vibrant and sustainable community patient care delivery system.

Under general supervision, the Patient Benefits Representative educates patients on insurance coverage and benefits, assesses patients’ financial ability, and may educate patients on assistance programs. They update and maintain existing patient insurance eligibility, coverage, and benefits in the system while supporting and adhering to the US Oncology Compliance Program.

• 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, discuss payment arrangements, educate patients on financial assistance programs, and identify sources of assistance. Based on diagnosis, estimated insurance coverage, and financial assistance, complete a Patient Cost Estimate form.
• Complete appropriate reimbursement and liability forms for patient’s review and signature; forward appropriate information and forms to billing office.
• Obtain, 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), enabling front desk to collect appropriately.
• At each patient visit, verify and update demographics and insurance coverage in the computer system according to Standard Operating Procedures (SOPs).
• Stay current on available financial aid, develop professional relationships with financial aid providers, and network to obtain leads to other aid programs.
• Adhere to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records.
• Maintain updated manuals, logs, forms, and documentation; perform additional duties as requested.
• Other duties as requested or assigned.

• High school diploma or equivalent required.
• Minimum three (3) years 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.
• Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.
• Must successfully complete required e‑learning courses within 90 days of occupying the position.

• Associate’s degree in Finance, Business or four years revenue cycle experience preferred.
• Minimum three (3) years pre‑services coordinator experience and two (2) years of patient benefits experience required.
• Must be able to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology.

• Uses Technical and Functional
  
  Experience:
  
  Po…