Patient Services Representative

Caribou Medical Center Now Hiring - Patient Services Representative! At Caribou Medical Center, we understand that excellent patient care begins with a strong foundation—including accurate claims and exceptional customer service. We're seeking a Patient Services Representative to ensure our revenue cycle processes run smoothly, efficiently, and professionally. This role is ideal for someone who enjoys problem-solving, working with patients and insurance providers, and being part of a team that values integrity, compassion, and accountability. Key Responsibilities Billing & Account Management Monitor and manage queues in the EHR and clearinghouse. Submit insurance claims daily, including secondary claims as appropriate. Follow up on unpaid accounts and outstanding insurance claims. Resolve credit balances and request transfers or refunds as needed. Customer Service & Communication Provide excellent customer service via phone and in-person interactions. Respond to inquiries from patients, management, and insurance companies. Communicate effectively and professionally with team members and external contacts. Escalate complaints and concerns to appropriate personnel when necessary. Quality Assurance & Compliance Run and review aged accounts receivable reports weekly. Work insurance denials daily to ensure timely and appropriate follow-up. Assist in audits and revenue cycle reviews as directed. Ensure compliance with industry standards, regulations, and internal policies. Teamwork & Support Attend regular staff meetings and training sessions. Maintain a positive working relationships with coworkers, patients, and the public. Help create and maintain a clean, safe, and efficient work environment. Perform additional duties as assigned by management. Why Join Caribou Medical Center? Be part of a community-centered hospital that values your contribution Competitive benefits and professional development opportunities Supportive and collaborative workplace culture Meaningful work that directly supports patient care Work Environment This position operates in a hospital setting and involves regular walking throughout the facility. You may interact with patients and families and could be exposed to bodily fluids, odors, latex, and cleaning chemicals. Adherence to all hospital safety and infection control protocols is required.

Required:

High School Diploma or GED Strong organizational and communication skills Attention to detail and ability to work independently Ability to manage time effectively and meet deadlines

Preferred:

Experience in healthcare billing, insurance claims, or financial counseling Familiarity with EHR systems and clearinghouse portals