Minnesota Oncology ยท 1 month ago
Patient Benefit Representative
St Paul, MN
Full-time
Onsite
Mid Level
$21/hr - $29/hr
3+ years expMinnesota Oncology is dedicated to providing exceptional care to patients and fostering a diverse workplace. The Patient Benefit Representative is responsible for educating patients on insurance coverage, assessing their financial ability, and ensuring proper documentation and compliance with regulations.
BiotechnologyHealth CareOncology
Responsibilities
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. 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, 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
At each patient visit, 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 patient's records
Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested
Other duties as requested or assigned
Qualification
Required
High school diploma or equivalent required
Minimum three (3) years patient pre-services coordinator or equivalent 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
Must successfully complete required e-learning courses within 90 days of occupying position
Benefits
Medical
Dental
Vision
Life Insurance
Generous Paid Time Off (PTO)
Free Short-term and Long-term Disability Coverage
401k plan with company contribution
Wellness program that rewards you practicing a healthy lifestyle
Tuition Reimbursement
Employee Assistance Program and Discount Program to some of your favorite retailers
Free Parking
Career Growth and Development
Supportive Team and Resources
Company
Minnesota Oncology
Minnesota Oncology is a hospital & health care company that provides cancers and blood disorders treatment.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
B.J. Miller
Chief Financial Officer
Company data provided by crunchbase