Patient Services Representative

Women's Health Arizona; Goodyear (AZ); On-site; USD 34,000 - 42,000; Full time

Job summary

Women's Health Arizona is seeking a Patient Services Representative to manage patient check-in/check-out, schedule appointments, and verify insurance benefits. You will obtain pre-authorizations and assist with medical billing while maintaining exceptional patient service and accurate records.

The ideal candidate has 1–2 years in a healthcare-administrative role, strong communication skills, and proficiency with EHR systems in a fast-paced office.

Qualifications

• 1–2 years of experience in a customer service or administrative role, preferably in healthcare.
• 1–2 years of experience with insurance verification, prior authorizations, benefits and basic medical billing/claims.
• High school diploma or equivalent; associate degree or certification preferred.
• Excellent customer service and professional communication with patients, staff and visitors.
• Strong organizational skills; able to multitask in a fast-paced environment.
• Proficient with computer software and EHR systems; knowledge of HIPAA regulations.

Responsibilities

• Patient Check-In and Check-Out: greet patients and verify demographic and insurance information.
• Appointment Scheduling: manage appointments, referrals, and tests with provider availability.
• Insurance Verification and Authorization: verify coverage and obtain pre-authorizations as needed.
• Administrative Support: filing, faxing, scanning, and organizing medical records.

Skills

Insurance verification

Prior authorizations

Medical billing

Customer service

Communication

Attention to detail

Education

High School Diploma

Associate's degree

Healthcare administration certification

Tools

Electronic Health Records (EHR)

Billing software

Job description

Description

The Patient Services Representative will be responsible for scheduling patient appointments, performing insurance verification and obtaining prior authorizations, with a strong understanding of insurance benefits, medical billing, and claims, while clearly communicating insurance requirements and financial responsibilities to patients. The position will also assist with daily administrative tasks to ensure a smooth and positive patient experience. The ideal candidate will have excellent communication skills, strong attention to detail, and a passion for providing exceptional customer service in a healthcare setting.

Responsibilities

• Patient Check-In and Check-Out: Greet patients in a courteous and professional manner upon arrival at the practice. Verify patient demographic and insurance information, updating records as necessary.
• Appointment Scheduling: Schedule patient appointments accurately, ensuring appropriate time slots and provider availability. Coordinate scheduling of follow-up appointments, referrals, and diagnostic tests as directed by healthcare providers.
• Insurance Verification and Authorization: Verify patient insurance coverage, eligibility, and benefits using electronic systems or contacting insurance carriers. Obtain pre-authorizations and referrals for procedures and services as required by insurance plans.
• Administrative Support: Assist with administrative tasks, such as filing, faxing, scanning, and organizing medical records. Perform other duties as assigned by practice management or healthcare providers.

Requirements

• High school diploma or equivalent required; Associate's degree or certification in healthcare administration preferred.
• Minimum of 1-2 years of experience in a customer service or administrative role, preferably in a healthcare or medical office setting.
• 1–2 years of experience with heavy insurance verification, prior authorizations, insurance benefits, and basic medical billing/claims, with the ability to clearly explain insurance requirements and financial responsibilities to patients.
• Excellent customer service skills, with the ability to communicate effectively and professionally with patients, staff, and visitors.
• Strong organizational skills, attention to detail, and ability to manage multiple tasks and priorities in a fast-paced environment.
• Proficiency in using computer software applications, electronic health records (EHR) systems, and office equipment.
• Knowledge of medical terminology, insurance verification processes, and HIPAA regulations.
• Ability to maintain confidentiality and handle sensitive information with discretion.
• Compassionate and empathetic attitude towards patients and their families.