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Texas Oncology - The Woodlands, TX
posted 2 months ago
About the position
The Patient Benefits Representative at Texas Oncology plays a crucial role in supporting patients by educating them on their insurance coverage and financial options related to cancer treatment. This full-time position is integral to ensuring that patients understand their benefits, co-pays, and available financial assistance programs, thereby facilitating access to necessary care. The representative will work closely with patients to assess their financial situations and help them navigate the complexities of insurance and payment arrangements, all while adhering to compliance standards and maintaining patient confidentiality.
Responsibilities
- Obtain insurance coverage information and patient demographics prior to treatment.
- Educate patients 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 assist with completing forms.
- Complete Patient Cost Estimate forms based on diagnosis and insurance coverage.
- Complete reimbursement and liability forms for patient review and signature.
- Obtain insurance pre-authorization or referral approval codes prior to treatment.
- Verify and update patient demographics and insurance coverage at each visit.
- Stay current on available financial aid and develop relationships with financial aid providers.
- Adhere to confidentiality and HIPAA laws regarding patient records.
Requirements
- 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.
- Knowledge of CPT coding and HCPS coding application required.
- Ability to communicate clearly and use appropriate terminology.
Nice-to-haves
- Associate's degree in Finance or Business preferred.
- 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.
Benefits
- Health insurance coverage
- Dental insurance coverage
- 401k retirement savings plan
- Paid time off
- Continuing education support
