Patient Service Representative

Job TitlePotential Functions:Prepare and process work orders accurately and timelyObtain, review, and coordinate required documentation, including prescriptions, physician notes, and other supporting records needed to move orders forwardVerify patient insurance benefits, confirm coverage criteria, and secure prior authorizations or pre-certifications as requiredEnsure data integrity and accuracy of patient account information, including HCPCS and ICD-10 coding, to support proper processing and reimbursementCommunicate with patients regarding insurance coverage, financial responsibility, and next steps in the processCoordinate with physician offices, practitioners, and internal staff to obtain missing information and ensure orders are ready for deliveryMaintain knowledge of payer-specific rules, documentation requirements, and authorization proceduresEnsure orders are properly documented and meet company and insurance requirements prior to deliveryProvide excellent customer service to patients, referral sources, and coworkersDocument account activity clearly, accurately, and professionallyHelp maintain an efficient flow of service from order intake through readiness for deliveryComplete other duties as assignedLimited travel to nearest office location for supportSkills & Requirements:Works independentlyUses good judgmentMakes sound decisionsCommunicates professionally with patients, physician offices, insurance representatives, and coworkersWorks effectively in a fast-paced environmentRecords information clearly, accurately, and conciselyHandles sensitive and confidential information appropriatelyMeets deadlines, prioritizes tasks, and manages multiple accounts at onceProficient in Microsoft Outlook, Word, and ExcelOrganized and detail-orientedHigh school graduatePrior experience with insurance verification, prior authorizations, medical documentation, or patient service in a healthcare setting preferredKnowledge of anatomy and medical coding is a plus