Patient Benefits Coordinator

3 weeks ago


Arlington Texas, United States Texas Oncology Full time
About the Role

We are seeking a highly skilled Patient Benefits Representative to join our team at Texas Oncology. As a key member of our staff, you will play a critical role in ensuring that our patients receive the best possible care and support throughout their treatment journey.

Key Responsibilities
  • Obtain and verify patient insurance coverage information and demographics prior to treatment
  • Educate patients on their insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses
  • Assess patients' financial ability and discuss payment arrangements
  • Identify and provide assistance with financial assistance programs
  • Complete Patient Cost Estimate forms and forward relevant information to the billing office
  • Obtain insurance pre-authorization or referral approval codes prior to each treatment
  • Review patient account balances and notify the front desk of patients who need to meet with a representative
  • Verify and update patient demographics and insurance coverage in the computer system according to Standard Operating Procedures (SOPs)
Requirements
  • High school diploma or equivalent required
  • Minimum three (3) years patient pre-services coordinator or equivalent experience 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
Preferred Qualifications
  • Associates 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
Competencies
  • Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded as an expert in the technical/functional area; accesses and uses other expert resources when appropriate
  • Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience in the face of constraints, frustrations, or adversity; demonstrates flexibility
  • Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty
  • Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them
  • Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluates products, processes, and service against those standards; manages quality; improves efficiencies


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