Patient Benefits Representative I

US Oncology, Inc. El Paso , TX 79910

Posted 2 months ago

Position Summary

Texas Oncology is looking for multiple Patient Benefits Representative I to join our team! This position will support the El Paso, TX location. Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma. 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, high-touch, 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.

Why work for us?

One reason to join our team is because we offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a 401-k plan that comes with a company match, a Wellness program that rewards you just for tracking your steps, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.

The ideal candidate for the Patient Benefits Representative position will have the following background and experience:

  • High school diploma or equivalent required.

  • Minimum two years experience with patient benefits / insurances required.

  • Proficiency with computer systems and Microsoft Office (Word and Excel) required.

  • Bilingual in Spanish strongly preferred.

What does the Patient Benefits Representative do?

The Patient Benefit Representative, under general supervision, responsible for educating patient on insurance coverage and benefits. Assess patient's financial ability; may educate patient on assistance programs. Updates and maintains existing patient new insurance eligibility, coverage, and benefits in system.

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 arrangements. May educate patients on financial assistance programs as well as identify sources and help 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

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

Texas Oncology is part of the US Oncology Network and 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: administrative

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 Benefits Representative I

US Oncology, Inc.