Patient Services Representative (Fully Remote, Work From Home)

ReveLution LLC; Peoria (AZ); Remote; USD 25,000 - 28,000; Full time

Benefits offered by this job

Remote work

Job summary

ReveLution, LLC is seeking Patient Services Representatives for a fully remote role supporting healthcare clients. Responsibilities include patient scheduling, insurance verifications, prior authorizations, and financial counseling.

Candidates with experience in medical scheduling or authorization processes are encouraged to apply. The ideal candidate is organized, detail-oriented, and capable of navigating complex healthcare systems while delivering excellent patient service to providers and

Qualifications

• At least 1 year of experience in medical scheduling, prior authorizations, and/or patient financial counseling.
• Experience with EHR/EMR, practice management systems, and insurance portals.
• Strong computer proficiency including Microsoft Office applications.
• Excellent written and verbal communication skills.
• Strong organizational skills with the ability to manage multiple tasks.

Responsibilities

• Handle incoming patient calls, triage inquiries, and direct calls.
• Schedule and coordinate patient appointments with providers.
• Complete patient registration including demographics and insurance info.
• Prepare patient charts by obtaining medical records from providers.
• Coordinate with providers and insurers for referrals and documentation.
• Verify insurance eligibility and benefits; manage authorizations.
• Conduct financial counseling calls and explain costs to patients.

Skills

EHR/EMR

Microsoft Office

Communication skills

Organizational skills

Remote work

Bilingual English/Spanish

Confidentiality

Tools

Practice management systems

Insurance portals

Job description

Company: ReveLution, LLCLocation: RemoteJob Type: Full-Time, Monday–FridayPay Range: $18.00–$20.00 per hourAbout ReveLutionReveLution, LLC is a growing consulting and revenue cycle management company specializing in high-quality medical billing and administrative services, with a focus on oncology and oncology-adjacent specialties. Our services include medical billing, patient scheduling, insurance verification, prior authorizations, and patient financial counseling.We are seeking motivated, detail-oriented healthcare professionals to join our growing remote team.Position OverviewWe are hiring Patient Services Representatives to support essential administrative and revenue cycle functions for our healthcare clients.Candidates with experience in medical scheduling, insurance authorizations, benefit verification, or patient financial counseling are encouraged to apply. Experience in all areas is not required.Depending on experience and team needs, responsibilities may focus on patient scheduling and administrative coordination or insurance authorizations and financial counseling.The ideal candidate is organized, dependable, comfortable navigating healthcare systems, and committed to providing exceptional service to patients, providers, and healthcare teams. Please note: we do not allow our team members to be the sole provider of dependent care while working.Key ResponsibilitiesPatient Scheduling & Administrative ServicesHandle incoming patient calls, triage inquiries, and direct calls appropriately.Schedule and coordinate patient appointments with healthcare providers.Complete patient registration, including demographic and insurance information.Prepare patient charts by obtaining medical records from referring physicians, specialists, imaging facilities, and hospitals.Coordinate with referring providers and insurance companies to obtain referrals and required documentation.Review provider schedules and identify insurance verification or authorization needs for upcoming appointments.Communicate effectively with patients, physicians, and clinical staff to facilitate timely patient care.Insurance Authorizations & Financial CounselingVerify patient insurance eligibility, benefits, and coverage details.Coordinate prior authorization and pre-certification requests with insurance companies, physicians, and patients.Monitor authorization requests and assist with peer-to-peer reviews and appeals when necessary.Obtain and process insurance documentation and information required for treatment approval.Conduct financial counseling calls with patients prior to scheduled appointments.Prepare and communicate patient cost estimates based on anticipated procedures and insurance benefits.Explain insurance coverage, copayments, deductibles, and potential out-of-pocket expenses.Establish and document patient payment arrangements in practice management systems.Assist patients with questions related to insurance coverage, billing, and payment options.QualificationsAt least 1 year of experience in medical scheduling, prior authorizations, and/or patient financial counseling.Experience working with electronic health records (EHR/EMR), practice management systems, and insurance portals.Familiarity with medical insurance processes, including eligibility, benefits, referrals, and/or prior authorizations.Strong computer proficiency, including Microsoft Office applications.Excellent written and verbal communication skills.Strong organizational skills and ability to manage multiple tasks and competing priorities.Ability to work independently in a remote environment while collaborating effectively with a team.Commitment to accuracy, professionalism, patient confidentiality, and exceptional customer service.Additional Preferred QualificationsExperience supporting oncology or other specialty medical practices.Experience with insurance pre-certifications, appeals, or patient financial counseling.English/Spanish bilingual proficiency.