Front End Services Representative (Healthcare Revenue Cycle Management)

Location: Remote; 8-hour Monday–Friday day shift aligned with Pacific Coast Time, 8:00 AM–4:30 PM or 8:30 AM–5:00 PM PST. Candidates in Mountain or Central Time Zones may also be considered.

Company

Healthcare revenue cycle management provider supporting ambulatory surgery centers, surgical clinics, surgical hospitals, and anesthesia groups.

What you will do

• Calculate procedure cost estimates using insurance benefits, patient coverage, and historical data.
• Verify eligibility, benefits, and coverage levels across Medicare, Medicaid, and commercial insurance plans.
• Prepare prior authorization submissions and secure required pre-certifications.
• Explain estimated financial responsibility, payment options, and financial counseling needs to patients.
• Research patient questions across practice management and other systems, process payments, and document account activity.
• Handle calls in compliance with HIPAA, follow client-specific billing protocols, and escalate issues when needed.

Requirements

• High school diploma or equivalent.
• Exceptional customer service and strong written and verbal communication skills.
• Mandatory compliance with strict patient confidentiality and HIPAA privacy requirements.
• Strong attention to detail, organization, and time management.
• Basic computer knowledge and Excel experience.

Culture & Benefits

• Fully remote position.
• Full-time Monday–Friday day schedule.
• Opportunity to work with executive leadership in a well-established, high-growth organization.
• Work focused on improving patients' financial and healthcare experiences.