Patient Benefit Representative (Oncology)

Location: Washington, DC; regular in-person work at the employee site is required during scheduled business hours. Minimal travel by automobile to office sites may be required.

Salary: $19.82–$30.40 per hour. The hiring rate depends on experience, education, responsibilities, location, and performance.

Company

Maryland Oncology Hematology provides cancer care through more than 15 locations across Maryland and DC as part of hirify.global.

What you will do

• Educate patients on insurance coverage, benefits, co-pays, deductibles, out-of-pocket expenses, payment arrangements, and financial assistance programs.
• Collect and verify insurance coverage and demographic information before treatment and at each patient visit.
• Prepare patient cost estimates, reimbursement forms, liability forms, and related documentation for billing.
• Obtain insurance pre-authorization or referral approval codes before treatment.
• Review patient account balances, communicate required co-pay information to the front desk, and support accurate collection.
• Maintain patient records, manuals, logs, forms, and documentation while following confidentiality and compliance requirements.

Requirements

• Knowledge of insurance coverage, patient benefits, financial assistance, and healthcare revenue-cycle processes.
• Ability to assess patients’ financial ability, explain costs clearly, and assist with payment or assistance-program forms.
• Ability to adapt to shifting priorities, exercise sound judgment, and maintain quality standards.
• Ability to work in person during regularly scheduled business hours and interact with patients, coworkers, management, and clients.
• Ability to sit, stand, walk for extended periods, handle and lift patients, and occasionally lift or carry up to 40 pounds.
• Compliance with confidentiality, state and federal requirements, and HIPAA guidelines for patient records.

Culture & Benefits

• Supportive oncology and hematology clinic environment focused on patients, physicians, and colleagues.
• Professional interaction with financial assistance providers and access to information about available assistance programs.
• Work includes exposure to conditions common in oncology and hematology clinics, including communicable diseases, toxic substances, ionizing radiation, and medical preparations.
• Reasonable accommodations may be provided to enable individuals with disabilities to perform essential job functions.