Remote US

Accessia Health is a national nonprofit organization dedicated to improving access to care for individuals with rare and chronic medical conditions. We operate in a highly regulated healthcare environment and are committed to operational excellence, compliance, and mission-driven service.

Position Summary

The Patient Services Representative (PSR) serves as the first point of contact for patients, healthcare providers, caregivers, and authorized representatives seeking assistance. This role provides accurate information regarding program eligibility, application requirements, and available resources while ensuring timely and compliant documentation processing.

The PSR performs structured eligibility review, data entry, and documentation management in accordance with HIPAA, internal policies, and funding requirements.

Key Responsibilities

Respond to inbound and outbound calls, emails, and written inquiries regarding program eligibility and application procedures
Provide accurate information regarding program guidelines, covered and non-covered services, and enrollment processes
Review, verify, and process eligibility and assistance documentation in accordance with established procedures
Enter and maintain complete and accurate data in the organization's patient management system
Initiate follow-up communication when additional documentation or clarification is required
Verify continued eligibility for active patients in accordance with program requirements
Identify and correct documentation errors in a timely manner
Maintain strict confidentiality of patient and organizational information
Comply with HIPAA privacy requirements and internal compliance standards
Complete assigned duties within established productivity and quality benchmarks

Minimum Qualifications

High school diploma or equivalent required
1–3 years of experience in healthcare, call center, benefits coordination, insurance navigation, or related service environment
Proficiency in Microsoft Office applications and data entry systems
Basic mathematical ability sufficient to calculate income-based eligibility thresholds
Ability to communicate clearly in written and verbal formats
Ability to manage multiple tasks in a structured, high-volume work environment

Preferred Qualifications

Working knowledge of Medicare, Medicaid, Marketplace, and commercial insurance plans

Employment Requirements

Must reside and work within the Commonwealth of Virginia at the time of hire and throughout employment
Must be authorized to work in the United States
No visa sponsorship available

Benefits

Accessia Health offers a comprehensive benefits package including medical, dental, vision, employer-paid life and disability insurance, retirement plan options, paid time off, and holidays. Compensation is commensurate with experience and internal equity.

Accessia Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity), national origin, age, disability, veteran status, or any other status protected under applicable law.

Accessia Health

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Patient Services Representative