Patient Services Representative - KOP

Lawall Prosthetics and Orthotics Services; King of Prussia (PA); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Competitive pay

Professional growth

Team environment

Monday–Friday schedule

Job summary

Lawall Prosthetic & Orthotic Services is seeking a Patient Services Representative to be the first point of contact for patients, referral sources, and visitors. You will verify insurance benefits and obtain prior authorizations to ensure timely access to prosthetic and orthotic services, while maintaining HIPAA compliance.

Office: 901 East 8th Avenue, King of Prussia, PA. Schedule: Monday–Friday, 8 am–4:30 pm.

Qualifications

• Experience with insurance verification, prior authorizations, medical billing, or healthcare reimbursement.
• Working knowledge of Medicare, Medicaid, Managed Care, and Commercial insurance plans.
• Understanding of HCPCS coding, ICD-10 coding, and payer guidelines.
• Strong organizational skills with exceptional attention to detail.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency with medical billing software and Microsoft Office applications.

Responsibilities

• Verify patient insurance eligibility, benefits, and coverage information.
• Obtain prior authorizations for prosthetic and orthotic services.
• Contact insurance companies to confirm coverage, authorization requirements, and claim status.
• Collaborate with clinicians, patient service staff, and billing teams to resolve insurance-related issues.
• Accurately document insurance verification and authorization information within company systems.
• Monitor and follow up on pending authorizations to minimize delays in patient care.
• Maintain knowledge of payer policies and documentation requirements.
• Ensure compliance with company policies, payer guidelines, and HIPAA regulations.

Skills

Insurance verification

Prior authorizations

Medical billing

MS Office

Job description

Patient Services Representative

We are seeking a professional, dependable, and customer-focused individual who enjoys working in a friendly, team-oriented environment.

Patient Services Representative

We are seeking a professional, dependable, and customer-focused individual who enjoys working in a friendly, team-oriented environment. The PSR serves as the first point of contact for our patients, referral sources, and visitors. As a PSR, you will play a critical role in ensuring patients receive timely access to prosthetic and orthotic services by verifying insurance benefits and securing necessary authorizations. This role reports directly to the Patient Accounts Supervisor and plays a vital role in ensuring an exceptional patient experience.

Office Location : 901 East 8th Avenue, 1st Floor Suite 104, King of Prussia, PA 19406

Work Schedule: Monday - Friday, 8 am - 4:30 pm

Key Responsibilities

• Verify patient insurance eligibility, benefits, and coverage information.
• Obtain prior authorizations for prosthetic and orthotic services.
• Contact insurance companies to confirm coverage, authorization requirements, and claim status.
• Collaborate with clinicians, patient service staff, and billing teams to resolve insurance-related issues.
• Accurately document insurance verification and authorization information within company systems.
• Monitor and follow up on pending authorizations to minimize delays in patient care.
• Maintain knowledge of payer policies and documentation requirements.
• Ensure compliance with company policies, payer guidelines, and HIPAA regulations.

What We're Looking For

• Experience with insurance verification, prior authorizations, medical billing, or healthcare reimbursement.
• Working knowledge of Medicare, Medicaid, Managed Care, and Commercial insurance plans.
• Understanding of HCPCS coding, ICD-10 coding, and payer allowable guidelines.
• Strong organizational skills with exceptional attention to detail.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency with medical billing software and Microsoft Office applications.

Why Join Lawall?

At Lawall, our employees make a meaningful impact every day by helping patients regain mobility and improve their quality of life. We offer:

• Stable Monday-Friday schedule
• Supportive and collaborative team environment
• Opportunities for professional growth and development
• Competitive pay and comprehensive benefits package
• The opportunity to make a difference in patients' lives

Lawall Prosthetic & Orthotic Services is an Equal Opportunity Employer.

This is a drug-free workplace. Employment offers are contingent upon successfully passing a pre-employment drug screening and background check.