Patient Service Representative

Job Description

Job Description

We are looking for a Patient Service Representative to support front-desk operations for a busy clinic in Tacoma, Washington. This Contract position plays an important role in creating a smooth patient experience by coordinating administrative, billing, and referral-related activities while safeguarding confidential health information. The ideal candidate will combine strong customer service skills with attention to detail to help maintain accurate records, verify coverage, and support timely patient access to care.

Responsibilities:
• Review visit and encounter details for completeness before submitting documentation for billing review and follow-up.
• Reconcile daily collections, maintain accurate payment records, and distribute copies of receipt activity for each business day.
• Confirm insurance coverage before scheduled appointments, including applicable assistance program eligibility, and notify clinic leadership of changes that may affect the visit.
• Collect patient payments, explain financial obligations, and arrange payment plans when appropriate.
• Apply copay and deductible adjustments in alignment with approved sliding fee guidelines and verify that supporting documents are accurately recorded in the appropriate systems.
• Respond to billing-related questions from patients, staff, and outside partners, and coordinate with the billing team to resolve outstanding issues.
• Manage referrals for specialty services, imaging, and community-based resources, ensuring urgent requests are handled promptly and non-urgent requests include clear patient instructions.
• Obtain prior authorizations when required by insurance plans and document referral status updates, including appointment information when available.
• Monitor referral work queues and reports on a regular basis to help ensure urgent items, routine requests, and aging referrals are completed or closed within expected timeframes.• Experience in a medical front office, patient access, or patient service role within a clinical setting.
• Knowledge of insurance verification, referral coordination, and prior authorization processes.
• Ability to collect payments, balance daily receipts, and support basic billing-related administrative tasks.
• Familiarity with patient registration workflows and maintaining accurate electronic health records.
• Strong communication skills with the ability to assist patients, staff, and external contacts effectively.
• Commitment to HIPAA compliance and protecting confidential patient information.
• Excellent organizational skills and close attention to detail when handling documentation and follow-up activities.