Patient Benefits Representative
Minnesota Oncology · St Paul, MN · 1 wk ago
Human Resources$21–$29/hrFull-time
At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. Join our dynamic team and help provide exceptional care to our patients.
Benefits
- Medical, Dental, and Vision Insurance
- Life Insurance
- Generous Paid Time Off (PTO)
- Free Short-term and Long-term Disability Coverage
- 401k plan with company contribution
- Wellness program that rewards healthy lifestyle practices
- Tuition Reimbursement
- Employee Assistance Program
- Discount Program with select retailers
- Free Parking
- Career Growth and Development
- Supportive Team and Resources
Responsibilities
- Educate patients on insurance coverage and benefits.
- Assess patients' financial ability; educate patients on assistance programs.
- Update and maintain patient insurance eligibility, coverage, and benefits in the system.
- Support and adhere to the US Oncology Compliance Program, including the Code of Ethics and Business Standards, and US Oncology's Shared Values.
- Obtain insurance coverage information and demographics before 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 form based on diagnosis, estimated insurance coverage, and financial assistance.
- Complete appropriate reimbursement and liability forms for patient review and signature; forward information to the billing office.
- Obtain insurance pre-authorization or referral approval codes from Clinical Reviewer prior to each treatment.
- Review patient account balance and notify the front desk of patients to meet with.
- Ensure correct entry of patient co-pay amount into the system for front desk collection.
- Verify and update demographics and insurance coverage in the computer system at each patient visit according to Standard Operating Procedures (SOPs).
- Stay current on available financial aid; develop professional relationships with financial aid providers and network for leads to other aid programs.
- Adhere to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records.
- Maintain updated manuals, logs, forms, and documentation.
- Perform additional duties as requested or assigned.
Requirements
- High school diploma or equivalent required.
- Proficiency with computer systems and Microsoft Office (Word and Excel).
- Strong verbal communication skills.
- Strong attention to detail and ability to multi-task.
- Three (3) years of patient pre-services coordinator experience or equivalent preferred.
Skills
- Uses Technical and Functional Experience: Possesses up-to-date knowledge of the profession and industry; regarded as an expert in the technical/functional area; accesses and uses other expert resources when appropriate.
- Demonstrates Adaptability: Handles day-to-day work challenges confidently; willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change; shows resilience in the face of constraints, frustrations, or adversity; demonstrates flexibility.
- Uses Sound Judgment: Makes timely, cost-effective, and sound decisions; makes decisions under conditions of uncertainty.
- Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
- Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluates products, processes, and service against those standards; manages quality; improves efficiencies.
Pay
$21.00-$29.00/hour
Physical Demands
- Regularly required to be present at the employee site during scheduled business hours.
- Regularly required to sit or stand, talk, or hear.
- Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.
- Requires standing and walking for extensive periods of time.
- Occasionally lifts and carries items weighing up to 40 lbs.
- Requires corrected vision and hearing to normal range.
Work Environment
- May include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations, and other conditions common to an oncology/hematology clinic environment.
- Involves in-person interaction with co-workers, management, and/or clients.
- May require minimal travel by automobile to office sites.