Job details
Job type full-time
Full job description
Overview
Texas oncology is looking for a patient benefits representative to join our team!this position will support the north austin locationTexas oncology is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across texas and southeastern oklahomaOur 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 nearbyOur mission is still the same today-at texas oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve `more breakthroughsMore victories.` ® in their fight against cancerToday, texas oncology treats half of all texans diagnosed with cancer on an annual basis.
Why work for us?
Come join our team that is responsible for helping lead texas oncology in treating more patient diagnosed with cancer than any other provider in texasWe offer our employees a competitive benefits package that includes medical, dental, vision, life insurance, short-term and long-term disability coverage, a generous pto program, a 401k plan that comes with a company match, a wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as tuition reimbursement, an employee assistance program and discounts on some of your favorite retailers.
What does the patient benefits representative do?
The patient benefits representative, under general supervision is responsible for educating patient on insurance coverage and benefitsAssess patients financial ability; may educate patient on assistance programsUpdates and maintains existing patient new insurance eligibility, coverage, and benefits in systemSupports and adheres to the us oncology compliance program, to include the code of ethics and business standards, and us oncology`s shared values.
All texas oncology employees, except those who work from home full time or who have a medical or religious accommodation, must be fully vaccinated, as defined by the cdc, by december 3.
Responsibilities
The essential duties and responsibilities:
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.
Assess patients ability to meet expenses and discusses payment arrangementsMay educate patients on financial assistance programs as well as identify sources and provide assistance with completing formsBased upon diagnosis, estimated insurance coverage, and financial assistance, completes patient cost estimate form.
Completes appropriate reimbursement and liability forms for patient`s review and signatureForwards 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, verifies and updates demographics and insurance coverage in computer system according to standard operating procedures (sops).
Stays current on available financial aideDevelops professional relationships with financial aide providersNetworks with financial aide providers to obtain leads to other aide programs.
Adheres to confidentiality, state, federal, and hippa laws and guidelines with regards to patient*s records.
Maintains updated manuals, logs, forms, and documentationPerforms additional duties as requested.
Other duties as requested or assigned.
Qualifications
The ideal candidate for the patient benefits representative will have the following background and experience:
High school diploma or equivalent required.
Minimum three (3) years patient pre-services coordinator or equivalent requiredProficiency 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 position.
Texas oncology is part of the us oncology network and is an equal opportunity employerAll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.
