Patient Service Center Rep - Remote Prior Authorizations

About the role

About Our Client: This organization operates within the healthcare services industry, focusing on enhancing financial and clinical performance for healthcare providers. It addresses challenges related to transitioning from volume-based to value-based care while improving patient access, cost management, and quality of healthcare services. With over 30 years of experience, the program supports clients across more than 135 regions nationwide, aiming to optimize healthcare delivery and patient experience. About the Opportunity: The PATIENT SERVICE CENTER REP - REMOTE PRIOR AUTHORIZATIONS is responsible for delivering efficient and accurate patient service by managing financial clearance and scheduling activities. This role ensures patients receive necessary information and assistance related to appointments, insurance verification, and financial responsibilities, contributing directly to streamlined patient access and organizational revenue integrity.

Responsibilities

• Complete scheduling and registration functions in a single patient interaction
• Provide appointment-related information such as preparation and directions
• Verify patient demographics and insurance details
• Secure payment of patient financial liabilities and perform collection efforts
• Manage order verification and processing when assigned
• Conduct complex pre-registration tasks including data collection, payment securing, and pre-certification
• Obtain necessary authorizations from insurers and healthcare facilities
• Perform additional duties as required by departmental needs

Requirements

• High school diploma or GED required
• Preferred two years college education or equivalent professional experience
• Experience in telephone/call center environments preferred
• Prior experience in pre-registration or scheduling preferred
• 2-3 years of customer service experience preferred
• Ability to work in a production-driven call center environment
• Proficiency with Windows-based systems and multitasking across multiple platforms
• Strong verbal and written communication skills

Pay

• Pay: $15.80 - $23.70 per hour, depending on location, qualifications, and experience
• Position may be eligible for a signing bonus for qualified new hires
• Time and a half pay for observed holidays

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Disability insurance
• Paid time off (minimum 12 days per year)
• 401(k) plan with up to 6% employer match
• Paid holidays (10 per year)
• Health savings accounts and flexible spending accounts
• Employee assistance and discount programs