Patient Service Representative

Russell Tobin + Associates is currently seeking a Patient Services Representative - Remote. This is a 6+ months contract with potential for extension/conversion for successful contractors!

Position: Patient Services Representative

Location: Remote

Duration: 6+ months, with possible extension

Pay rate: $16.00-17.00/hr on w2

Training: 3 weeks, M-F 8:30 AM – 5:30 PM

Regular Schedule: M-F 9:00 AM – 6:00 PM

JOB SUMMARY:

Primary Duties and Responsibilities:

• Under the supervision of an Operations Manager, the Patient Access Specialist provides advanced services to patients, providers, and caregivers for a manufacturer-sponsored program.
• Assist patients, providers, and caregivers with: Billing and coding support, Claims assistance, tracking, and submission
• Prior authorization assistance and tracking
• Coordination of benefits, Benefit verification result calls
• Advanced alternate coverage research, Appeals/Denials processing
• Intake and reporting of adverse events as directed
• Deliver exceptional customer service and escalate complaints as needed.
• Serve as a regional expert on payer trends, reporting issues such as billing/claim denials and pricing errors.
• Coordinate with internal and external service providers to meet service level agreements (SLAs).
• Maintain patient confidentiality.
• Work on moderately complex problems, exercising judgment within defined procedures.
• Operate independently from a queue (phone or system) while adhering to standard operating procedures.
• Perform additional related duties, such as benefit verifications and patient assistance program determinations.

Experience & Educational Requirements:

• High school diploma or GED required.
• Ability to build productive relationships with internal and external stakeholders.
• Preferred training in business administration, accounting, computer sciences, medical billing and coding, or customer service.
• 4+ years of directly related experience required.
• Sedentary work involving sitting, reaching, lifting, and typing.
• Proficiency in Microsoft Excel, Outlook, and Word.
• A two-year degree may substitute for 2 years of experience; a four-year degree may substitute for 4 years.

Russell Tobin / Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.