Maryland Oncology Hematology · 1 day ago
Patient Benefits Representative Sr
Abilene, TX
Full-time
Onsite
Mid, Senior Level
3+ years expMaryland Oncology Hematology is part of The US Oncology Network, the largest community oncology provider in the country. They are seeking a Patient Benefits Representative Sr to educate patients on insurance coverage, assess financial ability, and maintain patient insurance information to support the Revenue Cycle Department.
Health CareHospitalMedicalOncology
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, 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
Minimum three (3) years pre-services coordinator experience and two (2) years of patient benefits experience required
Preferred
Associates degree in Finance, Business or four years revenue cycle experience preferred
Must be able to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology
Company
Maryland Oncology Hematology
Maryland Oncology Hematology is a community based healthcare institution specialized in research and treatment of cancer patients.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
David Weng
Partner
Recent News
Maryland Daily Record
2024-12-17
Company data provided by crunchbase