Patient Benefits Representative jobs in United States
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Maryland Oncology Hematology · 12 hours ago

Patient Benefits Representative

Minnesota Oncology is a healthcare provider dedicated to exceptional patient care. They are seeking a Patient Benefits Representative responsible for educating patients on insurance coverage and benefits, and assisting them with financial arrangements and eligibility updates.

Health CareHospitalMedicalOncology

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

Patient pre-services coordinationCPT coding knowledgeHCPCS coding knowledgeMicrosoft Office proficiencyVerbal communication

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

Maryland Oncology Hematology

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Maryland Oncology Hematology is a community based healthcare institution specialized in research and treatment of cancer patients.

Funding

Current Stage
Late Stage

Leadership Team

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David Weng
Partner
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Company data provided by crunchbase