What are the responsibilities and job description for the Patient Benefit Representative position at The US Oncology Network?
Overview
Florida Cancer Affiliates
is seeking a full-time
Patient Benefits Representative to join our team!
This position will support the Ocala, Florida locations.
Why work for us? We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.
What does the Patient Benefits Representative do?The Patient Benefit Representative, under general supervision, responsible for educating patient on insurance coverage and benefits. Assess patient’s financial ability; may educate patient on assistance programs. Updates and maintains existing patient new insurance eligibility, coverage, and benefits in system.
Responsibilities
The essential duties and 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 help 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
- Stays current on available financial aid. Develops professional relationships with financial aid providers. Networks with financial aid providers to obtain leads to other aid programs.
Qualifications
The ideal candidate for the Patient Benefits Representative position will have the following background and experience:
- High school diploma or equivalent required.
- Minimum three (3) years of patient pre-services coordinator experience 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.
- Bilingual in English and Spanish strongly preferred.
