Patient Services Representative - Remote Patient Support Specialist for a Fortune 10 Medical Distribution Company (Full-Time, 1099 Contract, USA)
Join Our Team as a Patient Services Representative and Make a Difference in the Lives of Patients Across the USA Greenlight Connections, a unique staffing and placement firm dedicated to matching qualified military spouses, veterans, dependents, and other members connected to the military community with rewarding, remote jobs, is seeking a highly skilled and compassionate Patient Services Representative to join our team. As a Patient Services Representative, you will have the opportunity to work from home and make a positive impact on the lives of patients by providing them with solutions and exceptional customer service. About Our Company and Culture At Greenlight Connections, we are passionate about connecting military spouses, veterans, and their families with meaningful and fulfilling careers. We believe in fostering a culture of inclusivity, respect, and empathy, and we strive to create a work environment that is supportive, flexible, and rewarding. Our team is dedicated to providing exceptional service to our clients and patients, and we are committed to making a positive impact in the lives of those we serve. Our Mission and Values Our mission is to provide high-quality patient services and support to those in need, while also creating a positive and supportive work environment for our team members. We value compassion, empathy, and kindness, and we strive to make a difference in the lives of our patients and our community. Position Summary Under the general direction of an Operations Manager, the Patient Services Representative (PSR) will work diligently with patients and providers by providing them with solutions and answering general customer service inquiries which could include insurance verification, billing inquiries, and help coordinating access to therapies through the patient's healthcare provider. All PSRs will complete a paid, comprehensive remote training program before interacting with patients. Key Responsibilities: Handling Inbound Phone Queue/General Program Inquires Determination for support programs (Copay, PAP, Medicaid, etc.) Researching and resolving any claim denials or underpayment of claims Providing exceptional customer service to internal and external customers; resolving any customer requests in a timely and accurate manner; escalating complaints accordingly Reporting any trends or delays to program management (e.g. billing denials, claim denials, pricing errors, payments, etc.) Ensuring all program correspondence and communication (phone, fax, mail, etc) meets quality standards Pharmacy triage and coordination, along with other follow-up activities (missing info, prior authorization, etc.) Required to be self-motivated, working from a queue (phone or system). Expected to perform work in accordance with defined standard operating procedures. Management will monitor queues and provide active feedback as required. PSR intakes and reports adverse events as directed Requirements and Qualifications: Education and Experience: A minimum of a High School diploma/GED is necessary, Associates Degree or Bachelor's Degree is preferred. Certificates in Medical Coding, Medical Billing, or related fields are a plus. The position requires broad training in fields such as customer service, computer sciences, medical billing and coding, and business administration. Previous experience interacting with customers/clients, solving problems through troubleshooting, and creating connections is necessary. Having 2-3 years of Customer Service or Patient Services experience is HIGHLY DESIRABLE! Skills and Knowledge: Ability to proficiently use Microsoft Outlook, Word, and Excel Ability to communicate effectively both orally and in writing Ability to build productive working relationships with clients, coworkers and managers Strong interpersonal skills Ability and desire to actively engage and listen to your customers Strong organizational skills and attention to detail General knowledge of accounting principals, pharmacy operations, and medical claims Exhibit empathy and provide solutions in a fast-paced environment Ability to learn new concepts quickly and efficiently, and apply those in real-time Must be self-motivated in an at-home, remote working position Remote Work Environment Criteria: Existing High Speed Internet access at home Quiet, noise-free home office space that is free of distraction Ensure that the equipment provided to perform the work is in the designated area Adhere to assigned work schedule (inclusive of lunches & breaks) Make advance arrangements for dependent care to ensure a productive work environment Keep personal disruptions such as non-business telephone calls and visitors to a minimum Ensure that the home office is a safe place to work Proactively report any power outages, system or hardware issues to management team What We Offer: Compensation and Benefits: We offer a competitive salary and a comprehensive benefits package, including: A fixed, hourly starting rate while completing training A premium, certified hourly pay rate upon successful completion of training A 6-9 month contract A criminal background check and 9-panel Drug Test Career Growth Opportunities and Learning Benefits: We are committed to providing our team members with opportunities for career growth and development. As a Patient Services Representative, you will have access to: A paid, comprehensive remote training program Ongoing coaching and feedback from our management team Opportunities for advancement and professional growth Work Environment and Company Culture: We strive to create a work environment that is supportive, flexible, and rewarding. As a remote team member, you will have the opportunity to work from home and enjoy: A flexible work schedule The opportunity to work with a dynamic and supportive team A culture that values compassion, empathy, and kindness How to Apply: If you are a motivated and compassionate individual who is passionate about making a difference in the lives of patients, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we will be in touch with you soon to discuss the next steps. We look forward to connecting with you and exploring how you can join our team as a Patient Services Representative! 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