| Location | Frisco, TN (Remote) |
| Salary | $18 Per Hour |
Pay: $18/hr
Location: Remote, U.S.
BYOD: Bring your own device
Are you passionate about helping patients navigate the healthcare system and making a meaningful difference in their experience? We are seeking an experienced Patient Services Representative, PSR to provide high-level support to patients, healthcare providers, and caregivers participating in manufacturer-sponsored patient support programs.
This is an excellent opportunity for a healthcare customer service professional with experience in medical claims, insurance benefits, prior authorizations, reimbursement, billing, or patient access services who thrives in a fast-paced, detail-oriented environment.
As a Patient Services Representative, you will serve as a knowledgeable resource for patients, providers, and caregivers, helping them navigate complex healthcare coverage and reimbursement processes.
Key responsibilities include:
Provide advanced support to patients, healthcare providers, and caregivers
Assist with medical billing and coding questions
Provide claims assistance, tracking, and submission support
Assist with prior authorizations and authorization tracking
Coordinate insurance benefits and communicate benefit verification results
Conduct patient welcome calls and provide ongoing program support
Research alternate insurance and coverage options
Assist with appeals, denials, and reimbursement-related issues
Identify payer trends, claim denials, billing issues, pricing errors, payment delays, and other reimbursement challenges
Coordinate with internal teams and external service providers to ensure services meet established Service Level Agreements, SLAs
Process required correspondence and maintain accurate documentation
Handle patient information with the highest level of confidentiality
Work independently from assigned phone and system queues while meeting established productivity and quality expectations
Analyze moderately complex issues and determine appropriate action using established procedures
Support additional program services, including benefit verifications and patient assistance program determinations
Document and report adverse events as directed
Provide exceptional customer service while resolving requests accurately and efficiently
High school diploma or GED required
4+ years of directly related, progressively responsible experience, or an equivalent combination of education and experience
A two-year degree may substitute for two years of required experience
A four-year degree may substitute for four years of required experience
Strong experience working with patients, healthcare providers, insurance companies, claims, reimbursement, or related healthcare services
Excellent verbal and written communication skills
Strong organizational skills with exceptional attention to detail
Ability to manage multiple priorities and work effectively from established queues
Strong interpersonal and relationship-building skills
Basic analytical skills and strong mathematical aptitude
Proficiency with Microsoft Excel, Outlook, and Word
Candidates with experience in one or more of the following areas are strongly encouraged to apply:
Patient access or patient support programs
Medical claims and reimbursement
Prior authorizations
Benefit verification
Appeals and denials
Medical billing and coding
Coordination of benefits
Pharmacy operations
Healthcare insurance and payer processes
Patient Assistance Programs, PAP
Healthcare or pharmaceutical customer service
Additional training or education in business administration, accounting, computer science, medical billing and coding, healthcare, customer service, or a related discipline is highly valued. Relevant technical or vocational training may also be considered as part of the overall experience requirement.
This position operates in a professional office environment and requires extensive computer and telephone use. Approximately 75% or more of the workday may be spent working directly on a computer.
The role is primarily sedentary and requires regular reaching, grasping, repetitive hand and finger movements, talking, hearing, and visual focus. Candidates must also be comfortable managing challenging or stressful situations while maintaining professionalism and accuracy.
This is more than a traditional customer service position. You will help patients and healthcare providers navigate important coverage, reimbursement, and access issues that can directly affect a patient's ability to receive needed services.
If you have strong healthcare customer service experience, understand the complexities of insurance benefits, claims, prior authorizations, or reimbursement, and enjoy solving problems while helping others, we encourage you to apply.
Apply today to bring your healthcare expertise, problem-solving skills, and commitment to exceptional patient service to a team making a difference every day.
Throughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.