Patient Services Representative

Job Description

Job Description

Accessia Health is a national nonprofit organization dedicated to improving access to care for individuals with rare and chronic medical conditions. We operate in a highly regulated healthcare environment and are committed to operational excellence, compliance, and mission-driven service.Position SummaryThe Patient Services Representative (PSR) serves as the first point of contact for patients, healthcare providers, caregivers, and authorized representatives seeking assistance. This role provides accurate information regarding program eligibility, application requirements, and available resources while ensuring timely and compliant documentation processing.The PSR performs structured eligibility review, data entry, and documentation management in accordance with HIPAA, internal policies, and funding requirements.Key ResponsibilitiesRespond to inbound and outbound calls, emails, and written inquiries regarding program eligibility and application proceduresProvide accurate information regarding program guidelines, covered and non-covered services, and enrollment processesReview, verify, and process eligibility and assistance documentation in accordance with established proceduresEnter and maintain complete and accurate data in the organization's patient management systemInitiate follow-up communication when additional documentation or clarification is requiredVerify continued eligibility for active patients in accordance with program requirementsIdentify and correct documentation errors in a timely mannerMaintain strict confidentiality of patient and organizational informationComply with HIPAA privacy requirements and internal compliance standardsComplete assigned duties within established productivity and quality benchmarksMinimum QualificationsHigh school diploma or equivalent required1–3 years of experience in healthcare, call center, benefits coordination, insurance navigation, or related service environmentProficiency in Microsoft Office applications and data entry systemsBasic mathematical ability sufficient to calculate income-based eligibility thresholdsAbility to communicate clearly in written and verbal formatsAbility to manage multiple tasks in a structured, high-volume work environmentPreferred QualificationsAssociate or bachelor's degree in healthcare, social work, or related fieldWorking knowledge of Medicare, Medicaid, Marketplace, and commercial insurance plansEmployment RequirementsMust reside and work within the Commonwealth of Virginia at the time of hire and throughout employmentMust be authorized to work in the United StatesNo visa sponsorship availableBenefitsAccessia Health offers a comprehensive benefits package including medical, dental, vision, employer-paid life and disability insurance, retirement plan options, paid time off, and holidays. Compensation is commensurate with experience and internal equity. Accessia Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity), national origin, age, disability, veteran status, or any other status protected under applicable law.