Patient Services Representative (Fully Remote, Work From Home)

Fully Remote • Peoria, AZ 85381

Company: ReveLution, LLC
Location: Remote
Job Type: Full-Time, Monday–Friday
Pay Range: $18.00–$20.00 per hour

About ReveLution

ReveLution, LLC is a growing consulting and revenue cycle management company specializing in high-quality medical billing and administrative services, with a focus on oncology and oncology-adjacent specialties. Our services include medical billing, patient scheduling, insurance verification, prior authorizations, and patient financial counseling.

We are seeking motivated, detail-oriented healthcare professionals to join our growing remote team.

Position Overview

We are hiring Patient Services Representatives to support essential administrative and revenue cycle functions for our healthcare clients.

Candidates with experience in medical scheduling, insurance authorizations, benefit verification, or patient financial counseling are encouraged to apply. Experience in all areas is not required.

Depending on experience and team needs, responsibilities may focus on patient scheduling and administrative coordination or insurance authorizations and financial counseling.

The ideal candidate is organized, dependable, comfortable navigating healthcare systems, and committed to providing exceptional service to patients, providers, and healthcare teams. Please note: we do not allow our team members to be the sole provider of dependent care while working.

Key Responsibilities

Patient Scheduling & Administrative Services

• Handle incoming patient calls, triage inquiries, and direct calls appropriately.

• Schedule and coordinate patient appointments with healthcare providers.

• Complete patient registration, including demographic and insurance information.

• Prepare patient charts by obtaining medical records from referring physicians, specialists, imaging facilities, and hospitals.

• Coordinate with referring providers and insurance companies to obtain referrals and required documentation.

• Review provider schedules and identify insurance verification or authorization needs for upcoming appointments.

• Communicate effectively with patients, physicians, and clinical staff to facilitate timely patient care.

Insurance Authorizations & Financial Counseling

• Verify patient insurance eligibility, benefits, and coverage details.

• Coordinate prior authorization and pre-certification requests with insurance companies, physicians, and patients.

• Monitor authorization requests and assist with peer-to-peer reviews and appeals when necessary.

• Obtain and process insurance documentation and information required for treatment approval.

• Conduct financial counseling calls with patients prior to scheduled appointments.

• Prepare and communicate patient cost estimates based on anticipated procedures and insurance benefits.

• Explain insurance coverage, copayments, deductibles, and potential out-of-pocket expenses.

• Establish and document patient payment arrangements in practice management systems.

• Assist patients with questions related to insurance coverage, billing, and payment options.

Qualifications

Qualifications

• At least 1 year of experience in medical scheduling, prior authorizations, and/or patient financial counseling.

• Experience working with electronic health records (EHR/EMR), practice management systems, and insurance portals.

• Familiarity with medical insurance processes, including eligibility, benefits, referrals, and/or prior authorizations.

• Strong computer proficiency, including Microsoft Office applications.

• Excellent written and verbal communication skills.

• Strong organizational skills and ability to manage multiple tasks and competing priorities.

• Ability to work independently in a remote environment while collaborating effectively with a team.

• Commitment to accuracy, professionalism, patient confidentiality, and exceptional customer service.

Additional Preferred Qualifications

• Experience supporting oncology or other specialty medical practices.

• Experience with insurance pre-certifications, appeals, or patient financial counseling.

• English/Spanish bilingual proficiency.