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Adaptive Solutions Group
http://www.adaptivesg.com
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Patient Services Representative
Overview
We are seeking a detail-oriented and compassionate Patient Services Representative to join our team. This role is responsible for guiding patients through administrative and authorization processes with a focus on accuracy, empathy, and efficiency. The ideal candidate will have experience in healthcare administration, insurance verification, and customer service, and will thrive in a fast-paced, patient-focused environment.
Responsibilities
Patient Intake & Onboarding
Insurance Verification & Authorization
Case Processing & Documentation
Communication & Customer Service
Coordination & Cross-Department Support
Record Management & Compliance
Quality Control & Continuous Improvement
Required Qualifications
Preferred Qualifications
Benefits
Adaptive Solutions Group offers a competitive compensation and benefits package including medical, dental, STD/LTD, life insurance, 401k, paid vacation, and holidays.
Patient Services Representative
7 Southridge Drive , Suite 107 St. louis, MO 63146 US
Posted: 10/14/2025
2025-10-14
2025-12-06
Employment Type:
Contract to Hire
Job Category: Accounts Payable/Receivable
Job Number: 17300
Job Description
Patient Services Representative
Overview
We are seeking a detail-oriented and compassionate Patient Services Representative to join our team. This role is responsible for guiding patients through administrative and authorization processes with a focus on accuracy, empathy, and efficiency. The ideal candidate will have experience in healthcare administration, insurance verification, and customer service, and will thrive in a fast-paced, patient-focused environment.
Responsibilities
Patient Intake & Onboarding
- Process new patient referrals, ensuring complete and accurate demographic, insurance, and medical information
- Conduct outbound/inbound calls with patients, caregivers, and clinical partners
- Coordinate documentation with external partners and internal teams
- Create and maintain patient charts and required forms
Insurance Verification & Authorization
- Verify coverage under private insurance, Medicare, Medicaid, and VA programs
- Document insurance details and maintain benefit databases
- Submit and follow up on prior authorizations
- Escalate complex coverage issues as needed
Case Processing & Documentation
- Review clinical documentation for completeness and compliance
- Enter and manage patient cases across internal systems
- Coordinate with sales teams to confirm order accuracy
- Process re-work cases and generate patient orders
Communication & Customer Service
- Serve as primary contact for patients during pre-delivery stages
- Provide compassionate updates and resolve inquiries
- Collaborate with clinicians, insurance reps, and logistics partners
Coordination & Cross-Department Support
- Partner with internal teams to ensure timely case progression
- Contribute to workflow improvements and data accuracy
Record Management & Compliance
- Maintain HIPAA-compliant records and documentation
- Manage electronic consent forms and audit-ready files
- Support internal and external audit preparation
Quality Control & Continuous Improvement
- Stay informed on product offerings and coverage criteria
- Identify process barriers and suggest improvements
- Log case updates and support reporting efforts
Required Qualifications
- 2+ years in healthcare administration, patient services, medical billing, or insurance verification
- Knowledge of private insurance, Medicare, and DME billing
- Strong communication and organizational skills
- Proficiency in Microsoft Office and CRM systems
- Ability to handle confidential information professionally
Preferred Qualifications
- Experience with home medical equipment (HME/DME) workflows
- Familiarity with healthcare software platforms
Benefits
Adaptive Solutions Group offers a competitive compensation and benefits package including medical, dental, STD/LTD, life insurance, 401k, paid vacation, and holidays.
Job Requirements
customer service
