Jobs · Human Resources · Texas

Patient Benefits Representative

Texas Oncology · Longview, TX · 3 wk ago
Human ResourcesFull-time
We need to output HTML fragment with headings

for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We need to parse the posting. We have Overview (description) which could be "About the role". Then "What does the Patient Benefits Representative do?" which is responsibilities. Then "Responsibilities" section with bullet list. Then "Qualifications" with Level 1 and Sr details. Then "Competencies" maybe skills? Could be Skills. Then "Physical Demands" and "Work Environment" maybe not needed; they are not in allowed headings. We should not create sections for those unless they map to allowed headings. The allowed headings list: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We have no explicit Benefits, Pay, Schedule info except schedule mentioned: "Typical work is Monday through Friday, 8:00a - 5:00p." That's schedule. So we can include Schedule section with that info. Benefits: none specific. Pay: none. Requirements: maybe we can treat Qualifications as Requirements? But we have both Qualifications and Requirements headings allowed. The posting has "Qualifications" section; we could map that to Qualifications. Requirements maybe could be derived from "Physical Demands" or "Work Environment"? But those are not exactly requirements. However we could treat "Requirements" as the qualifications needed (like education, experience). But we already have Qualifications. To avoid duplication, we could put Requirements as empty? Not allowed. So we should only include sections with real content. We have About the role (overview), Responsibilities (what does + responsibilities list), Qualifications (level 1 and Sr), Skills (competencies), Schedule (typical work hours). Possibly also Requirements could be omitted. We must not repeat job title as heading. No Job ID. We must use
  • for any list of duties/requirements/benefits. So for responsibilities list we need
    • . For qualifications maybe also list? The qualifications are paragraphs with bullet-like statements; we can format as
      • . For competencies also list. We must use

        for prose. We must preserve all substantive information; do not invent or summarize away detail. So we need to include all details from overview, responsibilities, qualifications, competencies, schedule. We must remove boilerplate: cookie/navigation/legal/EEO etc. Not present. We must not include duplicated lines. Let's extract content. Overview paragraph: "The US Oncology Network is looking for a Patient Benefits Representative to join our team at Texas Oncology. This full-time position will support the Oncology Department at our 1300 N. 4th Street clinic in Longview, Texas. Typical work is Monday through Friday, 8:00a - 5:00p. This position will be a level 1 or Sr depending on relevant candidate experience. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today—at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve “More breakthroughs. More victories.” ® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis. The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care." We can keep that as About the role prose. But note schedule info is inside overview; we will also create Schedule section with that sentence. To avoid duplication, we could keep schedule info only in Schedule section and remove from overview? The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. If we remove it from overview, we lose that detail unless we keep it elsewhere. We could keep it in both places? That would be duplication. Better to keep schedule info only in Schedule section and adjust overview to not include that sentence. But we must preserve all substantive information; moving it is okay as long as it's still present. So we can extract the schedule sentence and put it in Schedule section, and remove from overview. That's not losing info. Similarly, the overview includes "Typical work is Monday through Friday, 8:00a - 5:00p." We'll move that. Now responsibilities: There is a heading "What does the Patient Benefits Representative do? (including, but not limited to):" then a paragraph: "The Patient Benefits Representative, under general supervision is 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." Then there is a "Responsibilities" heading with a list of duties. We need to combine? The instruction: Use

        for section headings. So we will have a Responsibilities section (

        Responsibilities

        ) and inside we put the combined duties as a list (
        • ...). We should include all duties from both the paragraph and the list. Let's extract duties from paragraph: - 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 Now the list under 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 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. We need to preserve all. Some sentences have minor grammar issues but we keep as is. Now Qualifications: There's a "Qualifications" heading with Level 1 and Level Sr details. We need to capture all. Level 1: - 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. Level Sr (in Addition To Level 1 Requirements): - Associates degree in Finance, Business or four years revenue cycle experience preferred. - Minimum three (3) years pre-services coordinator experience and two (2) years of patient benefits experience required. - Must be able to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology. We could present as list. Now Competencies: There's a "Competencies" heading with bullet points: - Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded a san expert in the technical/functional area; accesses and uses other expert resources when appropriate. - Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience inn 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 evaluated products, processes, and service against those standards; manages quality; improves efficiencies. We could treat as Skills section. Now Schedule: we have "Typical work is Monday through Friday, 8:00a - 5:00p." Now Benefits and Pay: none. Now we need to output HTML fragment with

          headings and

          for prose,

          • for lists. We should not include empty sections. Thus sections: - About the role (overview without schedule sentence) - Responsibilities (list) - Qualifications (list) - Skills (list from competencies) - Schedule (p with schedule sentence) We need to ensure we preserve all substantive information. Let's craft About the role prose: combine overview minus schedule sentence. Overview without schedule sentence: Start: "The US Oncology Network is looking for a Patient Benefits Representative to join our team at Texas Oncology. This full-time position will support the Oncology Department at our 1300 N. 4th Street clinic in Longview, Texas. This position will be a level 1 or Sr depending on relevant candidate experience. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today—at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve “More breakthroughs. More victories.” ® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis. The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care." Check if any other schedule mentions elsewhere? Not. Now Responsibilities list: combine paragraph duties and list. We should maybe keep the paragraph as prose then list? But instruction: Use
            • for any list of duties/requirements/benefits. So we should put all duties in a list. Could also include a brief intro paragraph before list? The instruction says use

              for prose. So we could have a short prose intro then list. But we must preserve all substantive information; we can include the paragraph as list items as well. To avoid losing nuance,

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