Patient Service Representative

Job description

About Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance and recognized among the Inc. 5000 fastest-growing private companies. We specialize in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. Our commitment to innovation and excellence has earned us recognition as a 2024 EY Entrepreneur Of The Year finalist and one of the top 100 fastest-growing companies in Dallas. Life at Plutus Health Plutus Health offers a unique work environment that is both thrilling and enriching, fostering personal and professional growth. Our company is a hub of innovation, collaboration, and continuous learning, where we encourage our employees to adopt a positive mindset and strive for excellence. At Plutus Health, you'll be part of a vibrant team that thrives on creativity and problem-solving. You'll have the opportunity to work on cutting-edge projects, leveraging the latest technologies and methodologies to deliver intelligent solutions that make a tangible difference for our clients. Plutus Health prioritizes the well-being of its employees and fosters a supportive and inclusive culture that promotes work-life balance. If you are enthusiastic about joining a vibrant organization that values your input, Plutus Health is the ideal place to pursue your career goals. Job Title: Patient Service Representative Experience: Minimum 1-2 years of experience in Healthcare call center, medical billing, or patient financial services OR Customer service in a regulated environment (healthcare strongly preferred) Location: Dallas, TX / Remote Employment Type: Full-time Job Summary The Patient Service Representative (PSR) serves as a primary point of contact for patients, assisting with inbound and outbound calls related to medical bills, statements, and payment options. This role focuses on delivering a compassionate, professional patient experience while efficiently resolving billing inquiries, facilitating payments, and addressing basic service complaints in compliance with healthcare and RCM best practices. Key Responsibilities Patient Communication & Call Handling • Answer inbound patient calls regarding medical bills, statements, balances, and payment options in a courteous and professional manner • Place outbound calls to patients as needed to resolve billing questions or follow up on outstanding balances • Clearly explain charges, account activity, and payment options in plain, patient-friendly language Billing & Payment Support • Assist patients with making payments via approved payment methods • Set up payment plans according to client and company guidelines • Provide copies of statements, receipts, and account summaries upon request • Accurately document all payment and account interactions in billing systems Statements & Account Assistance • Generate, reissue, and explain patient statements • Research basic account questions by reviewing billing history, insurance responses, and posted payments • Identify when issues require escalation to billing, AR, or supervisor teams Complaint Resolution & Service Recovery • Handle basic patient complaints related to billing, communication, or service experience • De-escalate emotionally charged situations with empathy and professionalism • Escalate complex, unresolved, or sensitive complaints per established protocols Compliance & Documentation • Maintain accurate, timely documentation of all patient interactions • Comply with HIPAA, company policies, and client-specific guidelines • Follow call quality, scripting, and performance standards Required Qualifications • High school diploma or GED (Associate degree preferred) • Minimum 1-2 years of experience in: • Healthcare call center, medical billing, or patient financial services OR • Customer service in a regulated environment (healthcare strongly preferred) • Strong verbal communication skills with a calm, empathetic demeanor • Ability to explain billing concepts clearly to non-technical audiences • Basic computer proficiency and comfort using billing or CRM systems Preferred Qualifications • Experience in medical billing, patient collections, or RCM environments • Familiarity with insurance terminology (EOBs, deductibles, copays, coinsurance) • Prior experience handling patient complaints or sensitive financial conversations • Bilingual (English/Spanish) is a plus Key Competencies & Skills • Customer-focused and patient-first mindset • Strong listening and problem-solving skills • Emotional intelligence and conflict de-escalation ability • Attention to detail and documentation accuracy • Ability to follow scripts, policies, and compliance requirements • Dependable, punctual, and organized Work Environment & Expectations • US-based role supporting US healthcare patients • May require extended screen time and high call volumes • Adherence to productivity, quality, and compliance metrics • Professional home office setup required for remote roles