| Location | Frisco, TX (Remote) |
| Salary | $18 Per Hour |
Pay: $18.00 per hour
Location: Remote, U.S.
Work Arrangement: Work from Home
Technology Requirement: BYOD, Bring Your Own Device
Are you an experienced healthcare professional with a background in patient services, health insurance, medical claims, prior authorizations, benefits verification, or reimbursement support? We are seeking an experienced Patient Services Representative, PSR, to provide advanced support to patients, healthcare providers, and caregivers participating in manufacturer-sponsored patient support programs.
This is a remote opportunity for a highly organized, compassionate, and self-motivated professional who understands the complexities of healthcare coverage and can confidently help patients and providers navigate the process.
As a Patient Services Representative, you will serve as an important resource for patients, providers, and caregivers. Your responsibilities may include:
Provide advanced support to patients, healthcare providers, and caregivers
Assist with medical billing and coding inquiries
Provide claims assistance, tracking, and submission support
Assist with prior authorizations and authorization tracking
Coordinate insurance benefits
Communicate benefit verification results
Conduct patient welcome calls
Research alternate insurance and coverage options
Assist with appeals and denied claims
Complete patient intakes and report adverse events as directed
Identify payer and reimbursement trends, including billing denials, claim denials, pricing errors, payment issues, and delays
Process correspondence accurately and efficiently
Coordinate with internal and external service providers to ensure established Service Level Agreements, SLAs, are met
Maintain strict confidentiality of patient-sensitive information
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 patient services, including benefit verifications and Patient Assistance Program, PAP, determinations
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 the required experience
A four-year degree may substitute for four years of the required experience
Excellent verbal and written communication skills
Advanced interpersonal and relationship-building skills
Strong organizational skills with exceptional attention to detail
Strong mathematical skills and basic analytical abilities
Ability to work independently in a structured, queue-based remote environment
Ability to apply established policies and procedures when resolving issues
Proficiency with Microsoft Excel, Outlook, and Word
Candidates with experience or knowledge in one or more of the following areas are strongly encouraged to apply:
Patient services or patient access
Medical claims
Medical billing and coding
Prior authorizations
Benefit verification
Coordination of benefits
Appeals and denials
Healthcare reimbursement
Health insurance or payer operations
Pharmacy operations
Patient Assistance Programs, PAP
Pharmaceutical patient support programs
Healthcare customer service
This is a remote, BYOD, Bring Your Own Device, position. Candidates must have their own appropriate computer equipment to perform the responsibilities of the role.
Because this position involves frequent interaction with patients, healthcare providers, and other stakeholders, candidates should have a professional, quiet, and distraction-controlled workspace suitable for handling confidential patient-related information.
This is primarily a sedentary, computer-based position. Candidates should be comfortable:
Spending 75% or more of the workday working directly on a computer
Performing repetitive keyboard and computer functions
Communicating frequently by telephone and electronically
Maintaining accuracy while managing detailed patient and insurance information
Working independently while meeting established service and productivity expectations
Managing multiple priorities and deadlines
Handling challenging or stressful situations professionally
If you have 4+ years of relevant healthcare experience and understand medical claims, insurance benefits, prior authorizations, reimbursement, billing, or patient support services, we want to hear from you.
Bring your healthcare knowledge, customer service skills, and attention to detail to a role where your work can help patients successfully navigate the healthcare system.
Apply today for consideration for this Remote Patient Services Representative opportunity!
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.