STL 1st ยท 9 hours ago
Patient Service Representative
STL 1st is seeking a detail-oriented and compassionate Patient Services Representative to join their growing Patient Experience team. This role involves serving as the first point of contact for patients and ensuring they receive exceptional support and timely access to their prescribed products.
Responsibilities
Receive and process new patient referrals, collecting demographic, clinical, and insurance information
Conduct both inbound and outbound communication with clinics, providers, BPO partners, and patients
Review documentation, track case progress, and complete required tasks in CRM systems
Verify patient insurance benefits and coverage requirements
Complete prior authorizations and utilization review requests
Accurately document benefit details and coverage outcomes
Collaborate with sales teams, patients, caregivers, and clinical partners to ensure products are approved, shipped, and delivered on time
Provide clear, empathetic, and professional support in potentially sensitive or emotional situations
Participate in departmental meetings, training sessions, and monthly case review huddles
Handle incoming service line calls, resolve issues, and escalate urgent requests appropriately
Update CRM and patient charts with accurate, timely documentation
Create, track, and upload consent forms, case notes, and required documentation
Ensure all interactions meet regulatory, compliance, and quality assurance standards (HIPAA, CMS guidelines, etc.)
Qualification
Required
High school diploma required
1+ year of experience in healthcare operations, customer service, insurance, call centers, or related fields
Proficiency with Salesforce or EPIC, Google Workspace or Microsoft Office, and professional phone/email etiquette
Ability to handle sensitive and confidential information in compliance with HIPAA regulations
Reliable transportation
Must pass a comprehensive background check
Commitment to maintaining compliance with HIPAA, Fraud/Waste/Abuse, and all patient privacy standards
Preferred
associate or bachelor's degree preferred
Company
STL 1st
Local Staffing and Talent Solutions firm dedicated to putting St. Louis 1st always and in all ways.
Funding
Current Stage
Early StageCompany data provided by crunchbase