Patient Solutions Representative II

Job Summary

Supporting a west coast hospital network, the full-time Patient Solutions Representative II will resolve billing and insurance inquiries, deliver high-quality customer service in a high-volume call center environment, and assist patients with payment plans and financial questions while working remotely.

Key responsibilities

• Resolve questions related to medical billing, insurance coverage, claims, EOBs, and account balances
• Deliver customer service through inbound and outbound calls while achieving first call resolution and meeting performance metrics
• Utilize EMR systems to research and resolve issues while maintaining HIPAA compliance and accurate documentation

Required qualifications

• 1+ year of experience in a customer service or call center role
• Experience in health insurance, payer customer service, or medical billing/claims is highly preferred
• Ability to clearly explain insurance benefits, claims, and EOBs
• Experience handling high call volume in fast-paced environments
• Familiarity with EMR systems (Epic, Cerner, etc.) is a plus