Patient Service Specialist

About the role

Seeking an experienced Patient Service Representative to support front-desk operations, patient scheduling, insurance verification, and authorization processes. The ideal candidate will have medical/healthcare experience along with hands-on insurance experience, including familiarity with payers, eligibility, authorizations, and patient financial responsibility.

Responsibilities

• Greet, register, and check in patients while providing information regarding appointments and what to expect during their visit.
• Schedule and coordinate patient appointments both in person and over the phone.
• Verify insurance eligibility and benefits and determine coverage for scheduled services.
• Obtain and track prior authorizations and payer approvals as needed.
• Explain insurance coverage and patient financial responsibility, including co-pays and other amounts due at the time of service.
• Collect and accurately process patient payments while following established reconciliation procedures.
• Prepare patient intake paperwork prior to appointments to support an efficient check-in process.
• Communicate regularly with insurance carriers, attorney offices, translation companies, operational leadership, and business development teams.
• Help resolve scheduling, insurance, authorization, and patient service issues.
• Maintain accurate patient information and documentation.
• Support quality assurance standards and maintain a professional, clean, and safe patient environment.

Requirements

• Previous experience in a medical or healthcare setting required.
• Previous experience working with health insurance processes required.
• Knowledge of insurance verification, eligibility, payers, and prior authorizations.
• Strong patient/customer service and communication skills.
• Comfortable navigating multiple computer systems and patient scheduling software.
• Proficiency with Microsoft Word, Excel, PowerPoint, and Outlook.
• Minimum typing speed of 40 WPM.
• Basic knowledge of bookkeeping, accounts receivable, payment processing, and math.
• Comfortable using standard office equipment, including copiers, scanners, and fax machines.
• Workers' compensation claims experience is a plus.

Pay

The pay range for this position is $20.00 - $20.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Benefits

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan (Pre-tax and Roth post-tax contributions available)
• Life Insurance (Voluntary Life & AD&D for the