Patient Service Representative

We are seeking a detail-oriented, compassionate, and highly organized Patient Services Representative to join a growing Patient Experience team. This is a contract-to-hire role where you’ll serve as the first point of contact for patients, clinics, sales teams, and internal partners, helping ensure every patient receives exceptional support, seamless service, and timely access to their prescribed products. This position is ideal for someone who thrives in a fast-paced environment, enjoys problem-solving, and values making a meaningful difference in people’s lives. What You’ll Do: Receive and process new patient referrals, collecting demographic, clinical, and insurance information. Conduct both inbound and outbound communication with clinics, providers, BPO partners, and patients. Review documentation, track case progress, and complete required tasks in CRM systems. Insurance Verification & Authorization Verify patient insurance benefits and coverage requirements. Complete prior authorizations and utilization review requests. Accurately document benefit details and coverage outcomes. Coordination & Communication Collaborate with sales teams, patients, caregivers, and clinical partners to ensure products are approved, shipped, and delivered on time. Provide clear, empathetic, and professional support in potentially sensitive or emotional situations. Participate in departmental meetings, training sessions, and monthly case review huddles. Process & Quality Management Handle incoming service line calls, resolve issues, and escalate urgent requests appropriately. Update CRM and patient charts with accurate, timely documentation. Create, track, and upload consent forms, case notes, and required documentation. Ensure all interactions meet regulatory, compliance, and quality assurance standards (HIPAA, CMS guidelines, etc.). Exceptional communication skills , both written and verbal. Strong customer service mindset with the ability to support patients through complex processes. High attention to detail to ensure accuracy in documentation, coverage reviews, and patient records. Organizational excellence with the ability to multitask and manage high-volume workflows. Problem-solving ability to navigate insurance, documentation, and operational challenges. Team collaboration combined with the confidence to work independently when needed. Comfort with technology , including CRMs, provider portals, and common office systems. Required Skills & Experience: High school diploma required; associate or bachelor’s degree preferred. 1+ year of experience in healthcare operations, customer service, insurance, call centers, or related fields. Proficiency with Salesforce or EPIC, Google Workspace or Microsoft Office, and professional phone/email etiquette. Ability to handle sensitive and confidential information in compliance with HIPAA regulations. Physical & Job Requirements: Reliable transportation. Must pass a comprehensive background check. Commitment to maintaining compliance with HIPAA, Fraud/Waste/Abuse, and all patient privacy standards. Additional Information: This job description outlines key responsibilities but is not exhaustive. Duties may evolve based on business needs, and reasonable accommodations will be provided when required. We are an equal opportunity employer and operate a drug-free workplace. At this time, we are not able to offer visa sponsorship. #J-18808-Ljbffr