PC/Patient Services Representative

Remote - Call Center Patient Services Representative (PSR)

Location:Remote Start Date:October 13 2025
Pay Rate:$19.50/hr. Full-Time Monday-Friday

Are you someone who thrives in a customer-focused role and enjoys making a difference in patients lives Join our team as a Patient Services Representative (PSR) and play a key role in helping patients gain access to essential therapies while working from the comfort of your home.

In this remote call center role youll work directly with patients providers and caregivers to complete enrollment activities answer program-related questions and help coordinate care through healthcare providers all while delivering an excellent customer experience.

Position Summary:

Under the general direction of an Operations Manager the PSR provides well-defined support services that ensure seamless access to care for patients. Youll engage with patients and their healthcare teams to verify coverage overcome access barriers and assist with program navigation.

Primary Duties and Responsibilities:

Depending on the specific contracted services of the program your responsibilities may include:

• Responding to inbound calls and general program inquiries
• Determining eligibility for support programs including Copay PAP and Medicaid
• Coordinating pharmacy triage and processing wholesale orders
• Conducting follow-up on missing information prior authorization requirements or other documentation needs
• Intake and reporting of adverse events as directed
• Researching and resolving claim denials or underpayments
• Collecting required information using approved methods such as phone fax mail or online systems
• Providing outstanding customer service to internal and external customers and resolving requests promptly and accurately
• Escalating complaints appropriately and in a timely manner
• Identifying and reporting trends or delays to program management (e.g. billing or claim denials pricing errors payment issues)
• Ensuring that all correspondence (phone fax mail etc.) meets quality standards
• Collaborating with patients providers and internal teams to ensure documentation is complete per program guidelines
• Working on moderately complex issues that require analysis of various factors
• Exercising judgment within defined standard operating procedures to determine appropriate action
• Working independently from a phone or system queue and staying self-motivated
• Adhering to defined SOPs while receiving feedback and performance coaching from management
• Performing additional duties and participating in special projects as assigned

Experience & Education Requirements:

• High school diploma or GED required
• Training in fields such as business administration accounting computer science medical billing and coding or customer service
• Completion of a two-year associate degree technical training program or an equivalent combination of experience and education
• 3 years of directly related progressively responsible experience required
  • A two-year degree may be used in lieu of 2 years of experience
  • A four-year degree may be used in lieu of the full experience requirement

Skills Knowledge & Abilities Required:

• Effective oral and written communication skills
• Ability to build strong working relationships with internal and external contacts
• Strong interpersonal skills and professionalism
• Excellent organizational skills and attention to detail
• Solid mathematical and basic analytical abilities
• General knowledge of:
  • Accounting principles
  • Pharmacy operations
  • Medical claims processes
• General knowledge of healthcare billing (preferred)
• Proficiency in Microsoft Excel Outlook and Word
• Developing professional expertise with the ability to apply company policies and procedures to resolve issues

Remote Work Environment:

• Noise level is consistent with a typical office setting
• Reasonable accommodation can be provided to support individuals with disabilities

Equipment Options:

You may choose one of the following setup options:

* Client-Provided Equipment(limited availability)
* Bring Your Own Device (BYOD)

BYOD Requirements:

• Windows OS laptop or desktop (no tablets or Apple products)
• External mouse (required)
• External keyboard (optional)
• A minimum of two screens (one laptop screen one external monitor)
• Must be hardwired to a modem via Ethernet cable

Physical & Mental Requirements:

• Sedentary work involving frequent reaching sitting lifting typing grasping and hearing
• Visual focus required for close work with the ability to adjust to varying distances and light levels
• 75% or moreof the day is spent working on a computer screen
• Must be able to maintain professionalism and composure in potentially stressful situations

If youre motivated by service focused on detail and driven to help others this is your opportunity to support patients in a meaningful way-from anywhere.

Apply today and take the next step in your healthcare support career.