Patient Benefit Representative

US Oncology, Inc. Eugene , OR 97401

Posted 2 months ago

Position SummaryWillamette Valley Cancer Institute is looking for a Patient Benefit Representative for their main clinical Hub in Eugene, OR. As a Patient Benefit Representative, you will work with patients and insurance companies to coordinate benefit administration for surgeries related to their Cancer Care Journey. You will also assist them in repayment plans to help minimize the additional financial stress of oncology treatments. Previous experience working with medical insurance is required, along with a compassionate heart for service. Come be an advocate and guide for our patients!

Employment Type: Full Time, FTE 1.0

Benefits: M/D/V, Life Ins., 401(k)

Location: Eugene, OR

JOB SCOPE:

Under general supervision, responsible for educating patient on insurance coverage and benefits. Assess patients' financial ability; may educate patient on assistance programs. Updates and maintains existing patient new insurance eligibility, coverage, and benefits in 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.

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 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 referral approvals and authorizations for certain clinical and laboratory services.

  • Review patient account balance and discuss with the patient.

  • Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately.

  • Stays current on available financial aide. Develops professional relationships with financial aide providers. Networks with financial aide providers to obtain leads to other aide programs.

  • Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient's records.

  • Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested.

  • Other duties as requested or assigned.

QUALIFICATIONS:

Experience and Education:

  • High school diploma or equivalent required.

  • Minimum one (1) year medical office, insurance verification/claims/billing experience required. Two to three years (2-3) experience, in specialty medicine, preferred.

  • Oncology experience preferred.

  • 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 position.

More About The Company

Willamette Valley Cancer Institute and Research Center is an independent, physician-led practice delivering leading-edge technology and treatment options and conducting innovative research. Founders of the practice pioneered community-based care to enable more cancer patients to receive high-quality care while staying close to the critical support of family and friends. We are committed to excellence which means providing the latest in cancer-fighting medical treatments and technologies.

Located in the beautiful Eugene-Springfield area, a mid-sized community where you can experience the splendor of all four seasons in a moderate climate. The South Willamette Valley is known for being wine country, and Eugene is a haven for wine lovers and craft beer enthusiasts. Superb skiing or a walk on the beach is within an hour's drive. Home to TrackTown USA and the University of Oregon, it's a mecca for runners and fans of track and football.

As a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, WVCI participates in leading-edge clinical trials through US Oncology research, which has helped develop 75 FDA approved cancer therapies. We serve the Eugene, Corvallis, and Springfield communities with three clinical offices located throughout the Central Oregon area.

To learn more about WVCI and its daily mission, please visit our website at www.oregoncancer.com.

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

Category: Admin

CODES:

  • M
  • HEC

The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

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Patient Benefit Representative

US Oncology, Inc.