Patient Service Representative
Provides exceptional customer service by answering phone calls and ensuring patient needs are met with care and efficiency. Handles variety of call types while representing the company's commitment to quality, compassion, and support.
Level 1 - Patient Service Representative
- Answers calls and emails in timely manner, meeting performance goals
- Handles standard call types : tank requests, ETA inquiries, pick-up requests, location assistance, order status, pricing inquiries
- Documents call information per standard operating procedures
- Answers questions about products, services, retail stores, and general service information
- Verifies insurance carriers in database system
- Resolves customer complaints with problem-solving approach
- Maintains working knowledge of current products and services
- Adheres to HIPAA guidelines and maintains patient confidentiality
Level 2 - Patient Service Representative
All Level 1 duties plus :
Handles advanced call types : oxygen (O2) services, DME, insurance verification / clarificationProcesses payments, orders, and returnsTroubleshoots equipment issues and provides advanced care solutionsResolves escalated issues or hands off with clear documentationServes as resource to Level 1 representatives for knowledge sharing and skill developmentLevel 3 Lead, Patient Service Representative
All Level 1 and 2 duties plus :
Serves as subject matter expert and primary resource for teamConducts new hire training and mentors team membersHandles escalated calls and complex issues with appropriate follow-upIdentifies root causes of service issues and collaborates on process improvementsPrepares reports for leadership and other departmentsSupports departmental standards and Patient Experience initiativesAssists with task coordination and ensures adherence to workflowsCollaborates with supervisor on performance metrics and service excellenceCompetency, Skills and Abilities
Customer Service & Communication
Deliver exceptional customer service with empathy, patience, and professionalismDemonstrate active listening and clear verbal / written communication skillsEffectively address patient needs, concerns, and inquiriesTechnical Proficiency
Strong problem-solving and analytical thinking abilitiesHigh attention to detail in documentation and data verificationProficient in computers, Microsoft Office, and database systemsExcellent multitasking and prioritization in fast-paced environmentsProfessional Attributes
High emotional intelligence to handle stressful situations with compassionAdaptable and flexible with changing processes and technologiesSelf-motivated with ability to work independently and take initiativeStrong team collaboration and cooperative work styleCommitment to continuous learning and professional developmentHealthcare Knowledge
Familiarity with Medicare, Medicaid, and commercial insurance processes (preferred)Understanding of healthcare documentation requirementsCompliance & Confidentiality
Strict adherence to HIPAA regulations and patient confidentialityFull compliance with company policies and referral guidelinesRequirements
Education and Experience Requirements :
High school diploma or equivalent requiredAssociate's degree in healthcare administration, Business Administration, or related field preferredPrevious experience in healthcare, insurance, medical billing, or patient services preferred.Knowledge of respiratory therapy or DME services preferred.Level I : (Entry Level) :One (1) year of work-related experienceLevel II :One (1) year of work-related experience plusTwo (2) years exact job experienceLead Level :One (1) year of work-related experience plusFour (4) years exact job experiencePhysical Demands and Work Environment :
Physical Requirements
Ability to sit for extended periods with prolonged computer screen exposureMust be able to bend, stoop, stretch, stand, and move between sitting / standing positionsPerform repetitive hand, wrist, and finger motions due to extensive computer and phone useOccasional lifting of 5-10 pounds as neededClear speech, hearing ability, and manual dexterity requiredWork Environment
High-volume call center environment with fluctuating stress levelsExtended computer and telephone use throughout workdayPotential exposure to angry or upset customers / patientsPossible exposure to hazardous materials, loud noise, temperature extremesRisk of contact with airborne, bloodborne, or other infectious pathogensMental and Communication Demands
Maintain mental alertness to perform essential job functionsDemonstrate empathy, compassion, courtesy, and respect for patient privacyEffective verbal and written communication skills requiredSchedule Requirements
Flexible scheduling to support business hours and after-hours programs as neededAdaptability to varying work levels and office activity fluctuations