What are the responsibilities and job description for the Patient Benefits Representative position at The US Oncology Network?
Overview
Now Hiring: Patient Benefits Representative
📍 Southern Cancer Center – Daphne, AL
Southern Cancer Center is seeking a compassionate and detail-oriented Patient Benefits Representative to join our Daphne team. This role plays a critical part in helping patients understand their insurance coverage, anticipated costs of care, and available financial assistance—ensuring they feel informed and supported before and during treatment.
Position Summary
Under general supervision, the Patient Benefits Representative educates patients on insurance coverage and benefits, assesses financial responsibility, and assists with financial assistance resources when needed. This position ensures accurate insurance eligibility, benefit verification, and documentation, while adhering to all compliance, ethics, and privacy standards.
Responsibilities
Essential Responsibilities
Minimum Qualifications
The role requires the ability to sit, stand, walk, talk, and hear for extended periods. Occasional lifting of up to 40 lbs may be required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.
Work Environment
This position is based in an oncology/hematology clinical setting and may involve exposure to communicable diseases, medical preparations, and other conditions common to a healthcare environment. Regular in-person interaction with patients, staff, and leadership is required. Minimal travel to SCC office locations may occur.
If You Want, I Can Also
Now Hiring: Patient Benefits Representative
📍 Southern Cancer Center – Daphne, AL
Southern Cancer Center is seeking a compassionate and detail-oriented Patient Benefits Representative to join our Daphne team. This role plays a critical part in helping patients understand their insurance coverage, anticipated costs of care, and available financial assistance—ensuring they feel informed and supported before and during treatment.
Position Summary
Under general supervision, the Patient Benefits Representative educates patients on insurance coverage and benefits, assesses financial responsibility, and assists with financial assistance resources when needed. This position ensures accurate insurance eligibility, benefit verification, and documentation, while adhering to all compliance, ethics, and privacy standards.
Responsibilities
Essential Responsibilities
- Prior to treatment, obtain and verify patient demographics and insurance coverage
- Educate patients on insurance benefits, co-pays, deductibles, and out-of-pocket expenses
- Assess patients’ ability to meet financial obligations and discuss payment arrangements
- Identify financial assistance programs and assist patients with applications as appropriate
- Complete Patient Cost Estimate forms based on diagnosis, insurance coverage, and assistance resources
- Obtain patient signatures on required reimbursement and liability forms and forward to the billing office
- Coordinate with Clinical Reviewers to ensure insurance pre-authorizations and referral approvals are obtained prior to treatment
- Review patient account balances and notify the front desk of patients needing financial consultation
- Ensure correct co-pay amounts are entered into the system for accurate collection
- Verify and update patient demographics and insurance information at each visit in accordance with SOPs
- Stay current on available financial aid programs and develop relationships with assistance providers
- Maintain strict confidentiality and comply with HIPAA, state, and federal regulations
- Maintain manuals, logs, forms, and required documentation
- Perform additional duties as assigned
Minimum Qualifications
- High school diploma or equivalent required
- Minimum of three (3) years’ experience as a patient pre-services coordinator or in a similar role
- Proficiency with computer systems and Microsoft Office (Word and Excel)
- Working knowledge of CPT and HCPCS coding
- Strong verbal communication skills with the ability to use appropriate medical and insurance terminology
- Ability to successfully complete required e-learning courses within 90 days of hire
- Technical & Functional Expertise: Demonstrates up-to-date industry knowledge and effectively applies technical skills
- Adaptability: Responds well to changing priorities and a fast-paced environment
- Sound Judgment: Makes timely, thoughtful decisions, even in uncertain situations
- Work Commitment: Sets high standards and consistently strives to achieve goals
- Quality Focus: Delivers accurate, thorough work and seeks opportunities to improve processes
The role requires the ability to sit, stand, walk, talk, and hear for extended periods. Occasional lifting of up to 40 lbs may be required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.
Work Environment
This position is based in an oncology/hematology clinical setting and may involve exposure to communicable diseases, medical preparations, and other conditions common to a healthcare environment. Regular in-person interaction with patients, staff, and leadership is required. Minimal travel to SCC office locations may occur.
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