Patient Services Representative (PSR) / Patient Access Specialist - Benefit Verification - Remote U.S. - Work From Home

BRING YOUR OWN EQUIPMENT NO MAC, NO TABLETS NO CHROMEBOOKS, MICROSOFT 10 OR HIGHER, HIGH-SPEED INTERNET, STORAGE PAGE, WORKING WEB CAMERA.

Application Process: Resume → Packet → Packet Review → Video Interview → Get hired on the call → Onboarding → Start training

Location: Remote - U.S. Based (Work from Home)
Job Type: Full-Time | Remote
Industry: Healthcare / Pharmaceutical Patient Support

POSITION SUMMARY:

We have 2 immediate Work From Home opportunities for an experienced Patient Services Representative / Patient Access Specialist.

Under the general supervision of an Operations Manager, you will provide advanced services to patients, providers, and caregivers on behalf of a specific manufacturer-sponsored patient support program.

This is a benefit verification focused role ideal for candidates with 4+ years in Patient Access, Medical Billing, Prior Authorizations, Benefit Verification, and Patient Assistance Programs.

SCHEDULE - 2 OPTIONS AVAILABLE:

Option 1 Starts 11/02/2026

• Training Schedule: 9:00 AM - 5:30 PM EST | Includes 30-min unpaid lunch + two (2) paid 15-min breaks
• Go-Live Schedule:
• • Shift 1: 9:00 AM - 5:30 PM EST
  • Shift 2: 5:00 PM - 8:00 PM EST [Coverage / OT as needed]

Option 2: Starts 10/19/2026 Limited Spots

• Training Schedule: 8:30 AM - 6:00 PM EST | Includes 30-min unpaid lunch + two (2) paid 15-min breaks
• Go-Live Schedule:
• • Shift 1: 8:30 AM - 6:00 PM EST
  • Shift 2: 5:00 PM - 8:00 PM EST [Coverage / OT as needed]

Must be available to work EST hours. Training is mandatory and must be completed on the day shift.

PRIMARY DUTIES AND RESPONSIBILITIES:

1. Provide advanced support to patients, providers, and caregivers, including:
2. • Benefit Verification and Benefit Verification result calls
   • Billing and coding support
   • Claims assistance, tracking, and submission
   • Prior Authorization assistance and tracking
   • Coordination of Benefits (COB)
   • Appeals / Denials support
   • Advanced alternate coverage research
   • Welcome calls
   • Patient Assistance Program (PAP) determinations
   • Intake and reporting of adverse events as directed
3. Provide exceptional customer service; resolve customer requests in a timely and accurate manner; escalate complaints accordingly.
4. Serve as a regional expert on payer trends; report reimbursement trends/delays to management (billing denials, claim denials, pricing errors, etc.).
5. Process necessary correspondence and maintain strict confidentiality of all patient-sensitive information (HIPAA).
6. Coordinate with internal and external service providers to ensure services are performed per program policy and within SLA.
7. Work self-motivated from a phone/system queue following defined Standard Operating Procedures (SOPs).

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

• High School Diploma or GED required.
• 4+ years directly related and progressively responsible experience required in: Patient Access, Medical Billing, Prior Authorizations, Benefit Verification, Medical Claims, Pharmacy Operations, Patient Assistance Programs.
• Education substitution: A 2-year Associate's degree can substitute for 2 years of experience. A 4-year degree can substitute for 4 years of experience.
• Broad training in business administration, accounting, medical billing and coding, or customer service preferred.

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

• Expert knowledge of: Health Insurance Benefits, Benefit Verification, Medical Claims, Prior Authorizations, Healthcare Reimbursement, Payer Operations, Patient Assistance Programs / Pharmaceutical Patient Support
• General knowledge of accounting principles, pharmacy operations, and medical claims processing.
• Strong understanding of medical industry vernacular and healthcare billing.
• Proficient in Microsoft Office Suite: Excel, Outlook, and Word.
• Ability to communicate effectively both orally and in writing.
• Advanced interpersonal, organizational, and attention-to-detail skills.
• Basic analytical and strong mathematical skills.
• Ability to work in a fast-paced queue environment.

WORK ENVIRONMENT & PHYSICAL REQUIREMENTS:

• 100% Remote - Work from Home - Must have a quiet, HIPAA-compliant workspace, reliable high-speed internet.
• Sedentary role - 75%+ of time spent looking at a computer.
• Requires reaching, finger dexterity, repetitive motions, talking and hearing.
• Ability to handle stressful situations professionally.

This is a great fit for candidates with backgrounds as: Patient Access Specialist, Patient Services Rep, Benefits Verification Specialist, Prior Authorization Specialist, Reimbursement Specialist, Medical Billing Specialist, HUB Specialist.

Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.

We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.

MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.

We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at

Benefits with MMC Group
MMC offers health insurance plans for our active candidates on assignment, including:

Medical, dental, and vision coverage
Life and disability insurance
Additional voluntary benefits

Join MMC and enjoy the support of a team that values your well-being, both on and off the job.

MMC strives to ensure all job posting confirm details of the position, the rate of pay, and acknowledge medical benefits are offered.

Get started on your career journey today! Apply to become a part of the MMC Team!

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.