Who we are: Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
What you'll do: The Patient Financial Services (PFS) Representative is responsible for providing accurate, timely, and courteous financial services to patients throughout the revenue cycle. This role supports front-end and post-service financial processes including insurance verification, benefit interpretation, patient billing inquiries, collections, and payment resolution while ensuring compliance with organizational policies and regulatory requirements.
Responsibilities/Duties:
- Serve as a primary point of contact for patient financial inquiries via phone, portal, or written correspondence.
- Explain insurance benefits, coverage limitations, patient responsibility, and payment options in a clear, professional manner.
- Provide cost estimates and financial counseling as appropriate.
- Provide daily guidance, coaching, and support to Patient Financial Services Representatives
- Serve as the first level of escalation for complex patient, billing, or account issues
- Verify insurance eligibility and benefits and document findings accurately in the system.
- Review patient accounts for accuracy, including demographic, coverage, and billing information.
- Submit, review, and follow up on insurance claims and patient balances as assigned.
- Identify and resolve billing discrepancies, underpayments, or denials within defined workflows.
- Support staff in explaining insurance benefits, patient responsibility, payment plans, and financial assistance options
- Collect patient payments and establish payment plans per organizational policy.
- Post payments and adjustments accurately when assigned.
- Ensure compliance with HIPAA and all applicable state and federal regulations.
- Maintain confidentiality of all patient and financial information.
- Follow departmental policies, procedures, and documentation standards.
Who you are: - High school diploma or equivalent required.
- 1-3 years of experience in Patient Financial Services, medical billing, or revenue cycle operations preferred.
- Working knowledge of insurance plans, benefit structures, and patient billing processes.
- Experience using electronic health records or practice management systems.
- Strong customer service, communication, and problem-solving skills.
- Basic computer proficiency including MS Office applications
- Experience in a multi-specialty or high-volume healthcare environment.
- Familiarity with front-end and post-service revenue cycle workflows.
- Prior experience handling escalated patient financial inquiries.
What we offer: - Excellent growth and advancement opportunities
- Access to a diverse network of practitioners
- Broad infrastructure of tools and programs to enhance the employee experience
- Benefits package: health, dental, vision, 401(k), etc.
We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as "protected characteristics").
Who we are: Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
What you'll do: The Patient Financial Services (PFS) Representative is responsible for providing accurate, timely, and courteous financial services to patients throughout the revenue cycle. This role supports front-end and post-service financial processes including insurance verification, benefit interpretation, patient billing inquiries, collections, and payment resolution while ensuring compliance with organizational policies and regulatory requirements.
Responsibilities/Duties:
- Serve as a primary point of contact for patient financial inquiries via phone, portal, or written correspondence.
- Explain insurance benefits, coverage limitations, patient responsibility, and payment options in a clear, professional manner.
- Provide cost estimates and financial counseling as appropriate.
- Provide daily guidance, coaching, and support to Patient Financial Services Representatives
- Serve as the first level of escalation for complex patient, billing, or account issues
- Verify insurance eligibility and benefits and document findings accurately in the system.
- Review patient accounts for accuracy, including demographic, coverage, and billing information.
- Submit, review, and follow up on insurance claims and patient balances as assigned.
- Identify and resolve billing discrepancies, underpayments, or denials within defined workflows.
- Support staff in explaining insurance benefits, patient responsibility, payment plans, and financial assistance options
- Collect patient payments and establish payment plans per organizational policy.
- Post payments and adjustments accurately when assigned.
- Ensure compliance with HIPAA and all applicable state and federal regulations.
- Maintain confidentiality of all patient and financial information.
- Follow departmental policies, procedures, and documentation standards.
Who you are: - High school diploma or equivalent required.
- 1-3 years of experience in Patient Financial Services, medical billing, or revenue cycle operations preferred.
- Working knowledge of insurance plans, benefit structures, and patient billing processes.
- Experience using electronic health records or practice management systems.
- Strong customer service, communication, and problem-solving skills.
- Basic computer proficiency including MS Office applications
- Experience in a multi-specialty or high-volume healthcare environment.
- Familiarity with front-end and post-service revenue cycle workflows.
- Prior experience handling escalated patient financial inquiries.
What we offer: - Excellent growth and advancement opportunities
- Access to a diverse network of practitioners
- Broad infrastructure of tools and programs to enhance the employee experience
- Benefits package: health, dental, vision, 401(k), etc.
We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as "protected characteristics").
