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Patient Benefit Representative Jobs (NOW HIRING)

Patient Benefits Representative

El Paso, TX · On-site

$15.75 - $20/hr

Overview The US Oncology Network is looking for a Patient Benefits Representative to join our team at Texas Oncology . This full-time position will support the Medical/Radiation Oncology Department ...

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Patient Benefit Representative information

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$12

$22

$39

How much do patient benefit representative jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for patient benefit representative in the United States is $22.99, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $27.40 per hour, depending on experience, location, and employer.

What are some common challenges patient benefit representatives face when assisting patients with insurance coverage and benefits?

Patient Benefit Representatives often navigate complex insurance policies and must clearly explain coverage details to patients who may be stressed or unfamiliar with healthcare terminology. Balancing the need to advocate for patients while ensuring compliance with regulations requires strong communication and problem-solving skills. They may also face challenges in obtaining timely authorizations or resolving claim denials, necessitating persistence and attention to detail. Building rapport with patients and coordinating with clinical and billing teams are key aspects of the role.

What are the key skills and qualifications needed to thrive as a patient benefit representative?

To thrive as a Patient Benefit Representative, you need a solid understanding of insurance processes, healthcare billing, and patient eligibility, often supported by a high school diploma or equivalent and experience in medical office settings. Familiarity with electronic health record (EHR) systems, insurance verification tools, and billing software is typically required. Outstanding customer service, attention to detail, and strong communication skills help you effectively assist patients and resolve benefit-related issues. These skills ensure patients receive accurate information and support, leading to smoother billing processes and improved patient satisfaction.

What is the difference between Patient Benefit Representative vs Patient Services Coordinator?

AspectPatient Benefit RepresentativePatient Services Coordinator
CredentialsHigh school diploma, certification in healthcare billing or insuranceHigh school diploma, healthcare or customer service experience
Work EnvironmentHospitals, clinics, insurance companiesHospitals, outpatient clinics, healthcare offices
Primary ResponsibilitiesAssist patients with insurance benefits, verify coverage, handle billing issuesCoordinate patient care, schedule appointments, provide patient support

The Patient Benefit Representative primarily focuses on insurance benefits, billing, and coverage verification, while the Patient Services Coordinator handles patient scheduling and overall support. Both roles work closely in healthcare settings but serve different functions related to patient assistance and administrative support.

What is a patient benefit representative?

Patient Benefit Representatives are healthcare professionals who assist patients in understanding and accessing their insurance benefits, financial assistance programs, and other resources to help cover the costs of medical care. They often act as a liaison between patients, healthcare providers, and insurance companies to ensure patients receive the maximum benefits available. Their responsibilities may include verifying insurance coverage, explaining benefits and out-of-pocket costs, helping with applications for assistance, and resolving billing issues. Patient Benefit Representatives play a vital role in making healthcare more accessible and less stressful for patients.
More about Patient Benefit Representative jobs
What states have the most Patient Benefit Representative jobs? States with the most job openings for Patient Benefit Representative jobs include:
Infographic showing various Patient Benefit Representative job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 71% Full Time, 19% Part Time, and 7% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $47,810 per year, or $23 per hour.

Patient Benefit Advisor

Granger Medical Clinic

Taylorsville, UT • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago


Granger Medical Clinic rating

3.1

Company rating: 3.1 out of 10

Based on 9 frontline employees who took The Breakroom Quiz


Job description

Patient Benefit Advisor

Granger Medical Clinic has an immediate opening for a full-time Patient Benefit Advisor at our Taylorsville, UT headquarters as part of our Revenue Cycle team.

In this critical role, you will serve as a vital bridge between patients, clinical staff, and insurance providers. This position is responsible for verifying and obtaining insurance authorizations, resolving complex billing inquiries, and providing compassionate financial counseling to patients and families to optimize the patient experience and support clinic reimbursement goals.

Knowledge, Skills, and Abilities:

  • Establishing and maintaining strong, professional working relationships with all internal and external contacts.
  • Exercising sound judgment and effectively managing patient expectations.
  • Attention to detail and high accuracy.
  • Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
  • Strong interpersonal and collaborative skills.
  • Excellent written, oral, and empathetic communication skills.
  • Capacity to work independently.

Essential Functions and Duties:

  • Monitoring patient accounts, identifying billing trends, and ensuring revenue cycle processes support timely provider reimbursement.
  • Resolving patient inquiries via a high volume of incoming phone contacts and correspondence regarding a variety of billing issues.
  • Collects any outstanding balances/payments, updates all demographic and insurance information, and maintain accurate reporting.
  • Supports clinic receptionists as needed with patient scheduling, check-in processes, and PA system management.
  • Researching all inquiries to resolution using various sources, including contacting insurance companies and other outside contacts.
  • Alerting management of any recurring billing trends or systemic issues encountered through patient contacts, and actively participating in developing proactive solutions.
  • Interviewing patients and families facing financial hardships, initiating/completing financial assistance applications as appropriate.
  • Verifying insurance eligibility and benefits utilizing available technologies, payer websites, or direct phone contact with third-party payers.
  • Processing and classifying bad debt for self-pay accounts and reviewing/resolving PCP and self-pay exception reports.
  • Verifying and obtaining insurance prior authorizations, counseling applicable areas of any out of pocket expenses.
  • Any other duties as requested.

Education and Experience:

  • Experience working in healthcare, preferred as a patient service representative.
  • Experience navigating insurance prior authorization processes.
  • High school diploma or GED.

Physical Requirements and Working Conditions:

  • Sedentary work, requiring lifting up to 10lbs.
  • Repetitive motion associated with operating a computer, phone, and other standard office equipment.
  • Inside, climate-controlled working conditions.

Granger Medical Clinic offers competitive wages and excellent benefits.

  • Vision
  • Dental
  • Medical
  • Sick Leave
  • Paid Time Off
  • Life Insurance
  • Paid Maternity Leave
  • Tuition Reimbursement
  • Short- and Long-Term Disability
  • Employee Assistance Program (EAP)
  • Health Savings and Flexible Spending Accounts
  • 401(k) with a Company Match, Profit Share, and Safe Harbor Contributions

The salary range listed is the base salary range offered for this position. Actual salaries may vary depending on factors including but not limited to work experience, education, and/or skill level.

Granger Medical Clinic provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Granger Medical Clinic complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation and training.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regards to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability status, genetic information and testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by law.


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