Patient Services Rep

RWJBarnabas Health; Michigan; On-site; USD 29,000 - 36,000; Full time

Job summary

RWJBarnabas Health is seeking a Patient Services Representative (PSR) focused on prior authorizations in the Neurology at the ACC group. You will manage and coordinate prior authorizations for procedures, imaging, referrals, and medications to keep patients moving through the care pathway.

You will work with providers, insurance carriers, and clinical teams to ensure timely approvals, accurate documentation, and smooth patient experiences.

Qualifications

• High School Diploma or GED with minimum 3 years of relevant experience.
• Experience in revenue cycle or patient access is preferred.
• Prior Authorization Certification Specialist (PACS) Certification preferred.
• Neurology/Neurosurgery experience preferred.

Responsibilities

• Initiate, submit, and track prior authorization requests for procedures, tests, referrals, and medications.
• Review provider orders and documentation for completeness before submission.
• Communicate with insurance carriers about approvals, denials, and information requests.
• Follow up on pending authorizations to prevent delays in patient care.
• Document authorization status and outcomes in the EMR.
• Inform providers of determinations and next steps.
• Coordinate scheduling of services after authorization is obtained.

Skills

Prior Authorization

Attention to detail

Documentation

Communication

Education

High School Diploma

GED

Job description

Job Title: Patient Services Rep

Location: Barnabas Health Medical Group

Department Name: Neurology at the ACC

Req #: 0000261302

Status: Hourly

Shift: Day

Pay Range: $21.07 - $26.22 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Our Patient Service Representatives are an important part of creating a seamless patient experience. As a Patient Service Representative (PSR) with a Prior Authorization Focus, you’ll play a key role in helping patients access the care they need by managing and coordinating insurance authorizations for medical services, procedures, imaging, referrals, and medications. You’ll work closely with providers, clinical teams, insurance carriers, and patients to ensure authorization requirements are met, documentation is complete, and approvals are obtained in a timely manner.If you’re organized, detail-oriented, and comfortable navigating insurance requirements, this role offers the opportunity to make a direct impact by helping prevent delays in patient care and keeping the patient journey moving forward.

As a Patient Service Representative (PSR), a typical day might include the following:

• Initiating, submitting, and tracking prior authorization requests for procedures, diagnostic testing, referrals, and medications.
• Reviewing provider orders and clinical documentation to ensure information is complete and accurate before submitting authorization requests.
• Communicating with insurance carriers regarding authorization approvals, denials, and requests for additional information.
• Following up on pending authorizations to help ensure timely resolution and prevent delays in patient care.
• Accurately documenting authorization status, reference numbers, outcomes, and supporting information in the electronic medical record (EMR).
• Notifying providers and clinical staff of authorization determinations and any required next steps.
• Assisting with peer-to-peer review coordination when required by insurance plans.
• Verifying insurance eligibility and benefits related to prior authorization requirements.
• Educating patients about authorization status, expected timelines, and insurance requirements as needed.
• Coordinating scheduling of services once authorization approval is obtained.
• Maintaining organized records of authorization requests and supporting documentation.
• Collaborating with front desk, clinical, and billing teams to support continuity of care.
• Identifying authorization trends, delays, or denials and escalating issues appropriately.

The Patient Service Representative (PSR) role might be for you if:

• You enjoy helping patients navigate the healthcare and insurance process and understand the importance of timely access to care.
• You are highly organized and comfortable managing multiple authorization requests, deadlines, and follow-ups.
• You have strong attention to detail and understand the importance of accurate documentation.
• You communicate confidently and professionally with patients, providers, clinical teams, and insurance carriers.
• You are persistent and proactive when following up on pending authorizations or resolving issues.
• You can review information carefully, identify missing documentation, and determine when an issue needs to be escalated.
• You work well independently while collaborating closely with providers, clinical staff, front desk teams, and billing.
• You value confidentiality, accuracy, and delivering a positive patient experience.
• Schedule: Day shift, Monday through Friday 8:30am-5:00pm, Full-Time, 40 hours per week

To be considered for this opportunity, you must have a High School Diploma or General Education Degree (GED) and minimum of 3 years of relevant experience and/or training. Candidates must possess a background in revenue cycle, a clear understanding of the importance of patient satisfaction and safety and strong oral and written communication skills. Preferred qualifications include a Prior Authorization Certification Specialist (PACS) Certification andNeurology/ Neurosurgery experience.