Patient Benefits Representative

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 make a difference by providing 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 favorite retailers
• Free Parking

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.
• 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.
• Network with financial aid providers to obtain 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).
• Ability to verbally communicate clearly and effectively.
• Strong attention to detail and ability to multi-task.
• Three (3) years of patient pre-services coordinator or equivalent experience 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; adjusts 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 services against those standards; manages quality; improves efficiencies.

Pay

$21.00-$29.00/hour

Physical Demands

• Regularly required to sit or stand, talk, or hear during scheduled business hours.
• 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.