Patient Benefit Rep Lead

Job Description

Facing cancer takes great strength and courage. It also takes an exceptional Patient Benefits Representative Lead working alongside clinical and administrative staff and being a part of our patient's experience in our clinics.

If you like educating patients about their payment options and financial assistance available to them and training new hires, we want you to join our team.

About Us:
Our mission is to increase access to and advance the delivery of high-quality cancer care in America. As part of US Oncology, one of the nation's largest healthcare services networks dedicated exclusively to cancer treatment and research, we can quickly bring the latest advances in cancer care to our patients. Most importantly, we understand the special needs of cancer patients, and are devoted to caring for the whole person, not just the disease.

Our physicians and staff treat patients in over 18 locations throughout the state including Flagstaff, Goodyear, Green Valley, Phoenix, Prescott Valley, Scottsdale, and Tucson.

Arizona Oncology has been recognized as one of the Top 100 Places to Work in Arizona!

Benefits:
We offer competitive pay and a comprehensive benefit package that includes, 401K Profit Sharing Plan, Critical Care Insurance, Dental Insurance, Health Spending Account, Legal Insurance, Long-Term Care, Medical Insurance, Paid Time Off Plan, Short and Long-Term Disability, Tuition Reimbursement, Vision Insurance.

To make a difference in someone's life, you don't have to be brilliant, rich, beautiful or perfect. You just have to care.

In your job, you will have the ability to make a difference in a patient's journey by:

• Prior to a patients first appointment, obtains preliminary diagnosis, insurance coverage information and demographics. Based upon diagnosis, estimates insurance coverage, financial obligation, and completes patient cost estimate forms. Prepares and completes appropriate reimbursement and liability forms for patients first appointment.
• During patients first appointment, educates patient on insurance coverage, pre-authorizations, benefits, co-pays, deductibles, and out-of-pocket expenses. Assess patient's 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. Reviews reimbursement and liability forms with patient and obtains approval signatures.
• 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
• Reviews and processes refund requests and adjustments. May discuss and resolve delinquent payments with patient and/or payers.
• At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs).
• Stay current on available financial aid. Develops professional relationships with financial aid providers. Networks with financial aid providers to obtain leads to other aid programs.
• Adhere to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records.
• Maintain updated manuals, logs, forms, and documentation. Performs additional duties as requested.
• Onboarding and training of new Patient Benefits Representatives and may assist with performance reviews.

This position allows all levels of experience.

Minimum Qualifications:

• High school diploma or equivalent required. 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 of CPT coding and HCPS coding manuals.
• Must verbally communicate clearly and utilize the appropriate and correct terminology.
• Must be able to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology.

What You Bring to the Team:

• Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.
• Associates degree in Finance, Business or 6 years of revenue cycle experience is preferred.
• Any relevant experience which demonstrates the minimum knowledge and skills may be substituted for education.

The safety of our patients and staff is our top priority. Masks may be requested in all Arizona Oncology facilities regardless of vaccination status. COVID vaccination is recommended.