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Patient Benefits Representative

Medix Tucson Full-Time
$16.00 - $20.00 / hour
Apply Now

Patient Benefits Representative

Do you want to work for one of the largest medical groups in Arizona? With more than 70 physicians devoted exclusively to providing comprehensive, compassionate and high-quality cancer care, this company believes it is beneficial to provide cancer therapies in a community setting, close to patients' homes and support systems. Our physicians are supported by a talented clinical team sensitive to the needs of cancer patients and their caregivers.

Location: Green Valley, AZ

Pay: $16.00-$20.00 DOE


Job Responsibilities of a Patient Benefits Representative:

  • 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 patients 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
  • Stays current on available financial aide. Develops professional relationships with financial aide providers

Must Have Skills of a Patient Benefits Representative:

  • HS Diploma or GED
  • 3 years of experience (front office/billing)
  • Computer proficiency
HS Diploma or GED 3 years of experience (front office/billing) Computer proficiency

Skills required

Customer Service
Operate Cash Register
Identify Customer Need
Resolve Customer Issue
Retention Management
Help Customer


About the company

Career Path

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Patient Benefits Representative
$16.00 - $20.00 / hour
Estimated Salary: $64K
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Job ID: 83322


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