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    CA

    Calpion/Plutus Health

    Healthcare

    Patient Service Representative

    Dallas, United StatesRemoteFull-time1–2 yrs experiencePosted 1mo ago
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    Job description

    About Plutus Health Inc.:

    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.

    Position 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

    Why Join Our RCM Team?

    • Opportunity to make a meaningful impact on patient satisfaction

    Job details are sourced from the employer's original posting.

    Open job posting
    CA

    About the company

    Calpion/Plutus Health

    Calpion/Plutus Health is a company focused on providing healthcare solutions.

    View all Calpion/Plutus Health jobs
    Industry
    Healthcare
    Open roles
    8

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