Patient Benefits Representative - Senior at Central Austin
New York Oncology Hematology
August 8, 2018
Texas Oncology Central Austin is seeking a Patient Benefits Representative to join our seasoned team. Under minimal supervision, is responsible for insurance verification and eligibility, assessment of patient financial requirements and counseling patients on insurance benefits and co-payments. Obtains pre-authorization of services. Obtains and maintains accurate patient demographics. Serves as a resource to resolve special account issues and balances. May assist with daily and monthly business office functions, including reporting, file maintenance and special projects. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards and Shared Values.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
-Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner. -Performs insurance verification process on all third party payers. Obtains initial and subsequent pre-authorization for services. Re-verifies benefits and obtains authorization and/or referral as necessary. -Performs and documents financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements. Serves as a resource for other financial counselors regarding issues with patient accounts and calculates and documents payment arrangement agreements. -Reviews and processes adjustments and refund requests. Assists with review of financial disclosures and negotiated agreement adjustments. -May assist with resolving large dollar amounts. -May assist with daily and monthly business office functions, including reporting, file maintenance and special projects. -Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and ensures appropriate forms completion. -Assists in maintaining manuals, logs and other required documentation as required. -Follows policies and procedures to contribute to the efficiency of the business and front office. Covers for and assists with other functions as requested.
High school diploma and at least five years of medical business office experience inclluding insurance procedures, patient interaction, and health records systems experience required.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 40 pounds. Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients, and outside insurers.
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
Internal Number: MCKEA00878272
About New York Oncology Hematology
New York Oncology Hematology (NYOH) is the leading provider of community-based cancer care and blood disorder services. With seven convenient locations in Albany, Amsterdam, Clifton Park in Saratoga County, Hudson, Rexford and Troy, our team of 32 physicians and 350 cancer care specialists see more than 100,000 cancer visits a year.
NYOH has always been at the forefront of cancer care. More than 30 years ago, we began as the region’s first oncology practice in a community setting (outside a hospital). A few years later, we offered the first radiation treatment outside a hospital setting.
Today, we continue our commitment of providing world class care, close to home. We offer the region’s largest clinical research and drug trial operation, only stem cell transplant program and only neuro-oncology care. We recently brought the first Varian Truebeam Radiotherapy System to our new practice: Clifton Park in Saratoga County.
Our medical staff includes 32 board certified physicians who specialize in the care of patients with cancer (medical oncology and radiation oncology) and blood-related disorders (hematology). With a patient care team of more than 350 oncology certified nurse...s, pharmacists, laboratory technologists, radiation therapists and support personnel, we are able to provide the personal level of care our patients need during treatment.