Patient Benefit Representative Sr

Overview

The US Oncology Network is seeking a Patient Benefits Representative to join the Medical Oncology Department at Texas Oncology’s 6204 Balcones clinic in Austin, Texas. This full‑time role supports patients throughout their care journey by assisting with insurance benefits, authorizations, and financial responsibilities, while providing clear communication and compassionate support.

Schedule

Typical work week: Monday through Friday, 8:00 a.m. – 4:30 p.m.

Responsibilities

• Obtain insurance coverage information and demographics prior to patient treatment.
• Educate patients on insurance coverage, benefits, co‑pays, deductibles, and out‑of‑pocket expenses.
• Assess patients’ ability to meet expenses and discuss payment arrangements.
• Educate patients on financial assistance programs, identify sources, and assist with completing forms.
• Complete Patient Cost Estimate forms based on diagnosis, estimated coverage, and financial assistance.
• Prepare appropriate reimbursement and liability forms for patient review and signature.
• Forward required information and forms to the billing office.
• Obtain insurance pre‑authorization or referral approval codes from the Clinical Reviewer before each treatment.
• Review patient account balances and notify the front desk of patients needing follow‑up.
• Ensure patient co‑pay amounts are correctly entered into the system or conveyed to the front desk for collection.
• Verify and update demographics and insurance coverage in the computer system at each patient visit, following Standard Operating Procedures.
• Stay current on available financial aid programs and develop professional relationships with financial aid providers.
• Network with financial aid providers to obtain leads to additional assistance programs.
• Adhere to confidentiality, state, federal, and HIPAA laws regarding patient records.
• Maintain updated manuals, logs, forms, and documentation.
• Perform additional duties as requested.

Qualifications

• Level 1
  • High school diploma or equivalent (required).
  • Minimum three (3) years of patient pre‑services coordinator experience (required).
  • Proficiency with computer systems and Microsoft Office (Word and Excel) (required).
  • Demonstrated knowledge of CPT coding and HCPCS coding application.
  • Clear verbal communication using appropriate terminology.
  • Successful completion of required e‑learning courses within 90 days of hire.
• Level Sr (in addition to Level 1 requirements)
  • Associate’s degree in Finance, Business, or related field (preferred).
  • Four years of revenue‑cycle experience (preferred).
  • Minimum three (3) years of pre‑services coordinator experience and two (2) years of patient benefits experience (required).
  • Demonstrated knowledge and appropriate application of insurance coverage benefits and terminology.

Competencies

• Uses technical and functional expertise; accesses additional expert resources when appropriate.
• Demonstrates adaptability; handles day‑to‑day challenges, shifting priorities, and rapid change with resilience.
• Exhibits sound judgment; makes timely, cost‑effective decisions under uncertainty.
• Shows strong work commitment; sets high performance standards and pursues aggressive goals efficiently.
• Commits to quality; defines, evaluates, and improves standards for products, processes, and services.

Physical Demands

The role requires regular presence on‑site during scheduled business hours, with frequent sitting, standing, walking, and talking. Employees must handle a full range of body motions, including lifting patients and items up to 40 lb, and possess adequate manual dexterity, eye‑hand coordination, and corrected vision and hearing.

Work Environment

The work setting includes exposure to communicable diseases, toxic substances, ionizing radiation, and medical preparations typical of an oncology/hematology clinic. The position involves in‑person interaction with co‑workers, management, and patients, and may require minimal automobile travel to office sites.