Patient Benefits Representative - OHC

POSITION:  Patient Benefits Rep / Financial Navigator

LOCATION:  Blue Ash, OH

WEEKLY HOURS:  40 (full time)

OHC - Specialists in Cancer and Blood Disorders, is looking for a Patient Benefits Representative for our Blue Ash location.  As a Patient Benefits Rep, you will work closely with patients and educate them on their insurance coverage and benefits, review out of pocket expenses, set up payment arrangements, as well as educating patients on financial assistance programs that are available.  

OHC has been fighting cancer on the front lines for more than 40 years. We are now one of the nation’s largest independent oncology practices, as well as the region’s premier source of treatment for nearly every form of adult cancer and complex blood disorder. At its heart, our approach to cancer care is simple – to surround our patients with everything they need so they can focus on what matters most: beating cancer!

Why choose OHC?  

You take care of our patients, so we take care of you. OHC’s benefits include:

• 3 Health Insurance Plans to choose from 
• 2 Dental and 2 Vision insurance plans 
• A company matched 401K plan
• Profit sharing plan for clinical employees
• Competitive salaries
• Company paid short term / long term disability / life insurance 
• Paid Holidays 
• A generous PTO plan 
• Tuition Reimbursement 
• Professional Development Program
• Nationwide Discounts at your favorite hotels, resorts and retailers just for being an OHC employee
• Wellness Program
• Yearly merit raises 
• Opportunities for advancement

• Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, 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. Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form. Completes appropriate reimbursement and liability forms for patient*s review and signature. Forwards appropriate information and forms to billing office.
• 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
• At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs).
• Stays current on available financial aide. Develops professional relationships with financial aide providers. Networks with financial aide providers to obtain leads to other aide programs.
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient records.
• Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested.
• Other duties as requested or assigned.

• 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.