Patient Benefits Coordinator

Job Description

Job Description

Ironwood Cancer & Research Centers has beautiful state-of-the-art integrated Cancer and Women's Centers, with locations strategically located throughout the Valley. Each one provides a superior cancer care environment with a full spectrum of cancer related services for patients. Our multi-disciplinary team approach includes surgical oncology, medical oncology, radiation oncology, women's centers, diagnostic imaging services, social service support, nutritionist, integrative services, and genetic counseling.

Mission Statement : To serve the community by providing quality, comprehensive cancer care which respects the values and needs of each individual.

Overview : We are currently looking for a qualified and detail-oriented Patient Financial Service Representative. The Representative creates the copay log daily to ensure that patients have a clear understanding of what their copays, coinsurance, cost of treatment, OOP may be prior to service. This is a full time position working 40 hours per week, Monday - Friday schedule.

Essential Duties & Responsibilities

Insurance Verification & Eligibility

• Verify and update insurance eligibility and demographic information for new and existing patients.
• Monitor schedules for add-on appointments and re-verification needs; perform ongoing eligibility checks.
• Identify Medicare replacement plans, AHCCCS enrollment, and coordination of benefits.
• Review claim denials and discrepancies; re-verify benefits and submit for reprocessing as needed.
• Process insurance changes and communicate updates to internal teams.

Financial Responsibility & Collections

• Calculate and communicate patient cost estimates prior to treatment.
• Educate patients on copays, deductibles, coinsurance, and out-of-pocket responsibilities.
• Collect payment at time of service and follow company cash-handling policies.
• Contact patients regarding balances due and establish approved payment plans when appropriate.
• Maintain accurate daily receipt and POS records.

Patient Support & Assistance Programs

• Assist patients with insurance, billing, and payment inquiries.
• Identify patients eligible for financial assistance or copay programs.
• Complete, track, and follow up on assistance applications until resolution.

Workflow, Documentation & Compliance

• Prioritize assigned tasks and address STAT items immediately.
• Respond to routine requests within 24 hours; urgent requests same day.
• Review and update patient ledgers and cost estimates as needed.
• Accurately document all patient communications.
• Maintain HIPAA compliance and adhere to company policies and productivity standards.

Other Duties

• Support team operations as needed.
• Perform other related duties as assigned.

Minimum Qualifications

• Knowledge of medical terminology and healthcare reimbursement processes.
• Understanding of chemotherapy-related drugs, supplies, and insurance considerations (SNF, LTC, Hospice).
• Familiarity with governmental and regulatory requirements related to collections.
• Proficiency with computer systems, EMR/billing platforms, and data entry.
• Strong attention to detail, organization, and multitasking skills.
• Ability to communicate clearly and compassionately about financial matters.
• Able to perform essential job functions with or without reasonable accommodation.

Education & Experience

• High School Diploma or equivalent required.
• Minimum of 3 years experience in healthcare reimbursement.

Certificates/Licenses: None required

We offer a competitive salary and a comprehensive benefit package including health insurance, 401K and a caring work environment. We are an E.O.E.

Please visit our website at "Outsmarting Cancer One Patient at a Time"