Patient Benefits Representative

1 month ago

Chesapeake, United States Virginia Oncology Associates Full time

Overview:

Virginia Oncology Associates, the largest group of medical professionals in Hampton Roads and Northeast North Carolina devoted exclusively to cancer care and blood disorders, has an exciting opportunity for a Patient Benefits Representative to support our Chesapeake location.


***Please take this quick survey once you've submitted your resume to complete the application process: Patient Benefits Representative PI Survey

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.
  • Assesses 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 patients review and signature. Forwards appropriate information and forms to billing office.
  • Responsible for obtaining insurance pre-authorization or referral approval codes prior to each treatment.
  • Ensures that patient co-pay amount is correctly entered into system (or conveyed)
  • Verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs).
  • 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 HIPPA laws and guidelines with regards to patients records.
  • Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested.
Qualifications:
  • High school diploma or equivalent required.
  • Minimum three (3) years pre-services coordinator experience required and two (2) years of patient benefits experience preferred.
  • Proficiency with computer systems and Microsoft Office (Word and Excel)
  • Demonstrated knowledge of CPT coding and HCPS coding application.
  • Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.
  • Must be willing to travel to all clinic locations as needed.

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