Patient Service Representative

Salary: USD
20 - USD
20 per year

We are seeking a dedicated Patient Service Representative to join our team for a temporary contract project . In this role, you will provide critical financial navigation and case management support for specialty pharmaceutical therapies . You will work directly with patients, healthcare providers, specialty pharmacies, and hub teams to remove financial barriers, clear prior authorizations, and secure access to co-pay savings and charitable foundation assistance .

Location & Equipment: Remote, but candidates must reside within 50 miles of 3301 Airport Freeway, Bedford, TX 76021 . In-person equipment pickup and drop-off at this location is required at the beginning and end of the assignment .

Duration: Temporary Contract (Beginning December through March, with potential extension based on business needs) .

Shift/

Schedule:

Monday–Friday; must be available to work any 8-hour shift between 7:00 AM – 7:00 PM CST .

Paid Training: December 7th – December 11th (Monday–Friday, 8:00 AM – 5:00 PM CST) .

Orientation: Mandatory remote orientation session in late November .

Attendance Policy: High-reliability requirement; no time off is permitted during the contract period (pre-planned single medical appointments may be accommodated with advance notice) .

Financial Access Support: Perform high-volume inbound and outbound calls to patients and healthcare provider offices to deliver real-time updates on benefit investigations, prior authorizations, co-pay card options, and Patient Assistance Program (PAP) coverage .

Patient Advocacy: Serve as the primary point of contact for patients and healthcare teams navigating complex insurance processes, free-goods initiatives, and charitable foundation funding .

Case Processing: Manage a task-based caseload of 20–28 cases daily, accurately reviewing financial documentation, verifying income eligibility, and updating records in real time .

Eligibility & Enrollment: Evaluate patient financial eligibility and facilitate seamless enrollment into manufacturer co-pay programs, assistance grants, and safety-net solutions .

Empathetic Communication: Provide professional, compassionate support to patients experiencing stress related to their treatment and financial requirements .

Compliance & Data Integrity: Maintain complete, audit-ready interaction records within the case management system, strictly adhering to HIPAA guidelines and corporate compliance standards .

Experience: 2+ years of experience in insurance coordination, prior authorization, or pharmacy benefits .

Domain Knowledge: Strong working knowledge of pharmacy benefits, Medicare Part D, prior authorization workflows, and payer processes .

Pharmacy Background: Pharmacy Technicians with payer or Pharmacy Benefit Manager (PBM) experience are encouraged to apply (retail-only pharmacy experience does not qualify) .

Program

Experience:

Hands-on experience with co-pay programs, patient assistance programs (PAP), or specialty reimbursement .

Workspace Requirements: A quiet, private, HIPAA-compliant home office workspace .

Technical

Skills:

Proficiency in basic Microsoft Office programs and case management data entry .

Education: High School Diploma or GED required .

Credentialing: Ability to pass a mandatory program credentialing assessment during the assignment .

Prior experience as a Reimbursement Case Manager (RCM) or Hub Case Manager .

Excellent critical thinking and independent problem-solving capabilities .

Ability to thrive in a fast-paced, high-volume, and metrics-driven environment .

Outstanding verbal and written communication skills with strong active listening abilities .