Patient Benefit Rep

Patient Benefit RepresentativeFlorida Cancer Affiliates is hiring a full-time Patient Benefit Representative in our Panama City Office.Why work for us? We offer our employees a competitive benefits package that includes medical, dental, vision, life insurance, short-term and long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as tuition reimbursement, an employee assistance program, and discounts on some of your favorite retailers.ResponsibilitiesEssential responsibilities include:Obtaining insurance coverage information and demographics; educating patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.Assessing patients ability to meet expenses and discussing payment arrangements.Educating patients on financial assistance programs as well as identifying sources and providing assistance with completing forms.Completing Patient Cost Estimate form. Completing appropriate reimbursement and liability forms for patient’s review and signature. Forwarding appropriate information and forms to billing office.Obtaining insurance pre-authorization or referral approval codes prior to each treatment.Reviewing patient account balance and notifying front desk of patients to meet with.Ensuring that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately.At each patient visit, verifying and updating demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs).Staying current on available financial aide. Developing professional relationships with financial aide providers.

Networking with financial aide providers to obtain leads to other aide programs.Adhering to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient’s records.Maintaining updated manuals, logs, forms, and documentation. Performing additional duties as requested.Other duties as requested or assigned.QualificationsMinimum qualifications include a 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.Competencies include:Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is 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; is 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 evaluated products, processes, and service against those standards; manages quality; improves efficiencies.Physical demands include being present at the employee site during regularly scheduled business hours and regularly required to sit or stand and 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. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.