Patient Services Representative

The Patient Services Representative supports orthopedic surgeons and patients throughout the surgical care process, with a primary focus on workers’ compensation cases. This role coordinates scheduling, insurance verification, authorizations, referrals, and pre- and post-operative needs while serving as a key liaison among patients, physicians, clinical teams, billing, adjusters, and case managers.

Responsibilities

• Coordinate workers’ compensation scheduling for orthopedic surgery, including pre-operative and post-operative appointments.
• Verify insurance, obtain surgical authorizations, and coordinate required health clearances and pre-operative studies.
• Schedule clinical staff, operating room time, special equipment, and other procedural arrangements.
• Review surgery and procedure information with patients as directed by orthopedic surgeons and facilitate appropriate education classes.
• Serve as the primary patient contact and liaison among patients, physicians, internal departments, external providers, adjusters, and case managers.
• Respond to patient inquiries and complaints, provide service recovery when appropriate, and escalate issues as needed.
• Complete physician referrals, manage referral work queues, and handle correspondence, forms, authorization requests, calendar needs, and transcription tasks.
• Prepare charts, update demographic and insurance information, support billing audits, and ensure surgical reports and charges are submitted.

Required Qualifications

• High school diploma or GED.
• At least 2 years of experience in workers’ compensation claims administration.
• Experience with workers’ compensation claims, insurance verification, medical scheduling, referral management, and surgical authorizations.
• Experience with Epic EMR.
• Flu vaccination required; declinations and exemptions are not accepted.

InSync Consulting Services is a staffing agency specializing in Healthcare, Commercial, and EOR staffing services.