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Beneficiary Services Representative Jobs (NOW HIRING)

Tidelands Health

$15.25 - $19.50/hr

Patient Services Representative I Are you passionate about quality and committed to excellence ... Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy ...

Tidelands Health

Patient Services Representative

Conway, SC · On-site

$15 - $19/hr

Patient Services Representative II Are you passionate about quality and committed to excellence ... Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy ...

New

The Arc of New Mexico

Trust Director

Albuquerque, NM · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Beneficiary Services: Oversee pooled trust fund distributions and maintenance of trust account ... and investment representatives regarding trust administration matters Financial Oversight ...

Tidelands Health

$15.25 - $19.50/hr

Patient Services Representative I Are you passionate about quality and committed to excellence ... Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy ...

Everence

Client Services Representative

Ephrata, PA · On-site

$15.75 - $21.50/hr

... beneficiary updates, withdrawals, etc.). * Process and maintain various communication approvals ... Provide backup for other Client Services Representatives as needed. * Assist with other projects as ...

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Beneficiary Services Representative information

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How much do beneficiary services representative jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for beneficiary services representative in the United States is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

How does a beneficiary services representative typically collaborate with other departments to resolve complex client issues?

Beneficiary Services Representatives frequently work alongside claims, billing, and customer support teams to address and resolve multifaceted client concerns. When a beneficiary’s inquiry involves multiple aspects—such as eligibility, payment status, or plan coverage—representatives coordinate with specialists from other departments to gather accurate information and provide comprehensive solutions. This collaboration ensures that beneficiaries receive timely and accurate assistance, and it also fosters a supportive work environment where knowledge is shared to improve service quality.

What are the key skills and qualifications needed to thrive as a beneficiary services representative?

To thrive as a Beneficiary Services Representative, you need strong customer service skills, attention to detail, and a high school diploma or equivalent, with some employers preferring healthcare or insurance experience. Familiarity with call center software, CRM systems, and basic healthcare or insurance terminology is often required. Excellent communication, problem-solving ability, and patience are crucial soft skills for handling inquiries and resolving beneficiary concerns. These competencies ensure clear, accurate assistance to beneficiaries, improving service quality and client satisfaction.

What is a beneficiary services representative?

Beneficiary Services Representatives are professionals who assist clients or beneficiaries with questions and concerns about their benefits, insurance, or healthcare plans. They provide information, resolve issues, and help people understand their coverage and eligibility. These representatives often work in call centers, insurance companies, or government agencies, serving as a primary point of contact for beneficiaries. Their role is essential in ensuring that beneficiaries receive accurate information and support related to their plans.

What is the difference between Beneficiary Services Representative vs Claims Specialist?

AspectBeneficiary Services RepresentativeClaims Specialist
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma; certifications like CPC or insurance licenses may be preferred
Work EnvironmentCustomer service centers, healthcare offices, insurance companiesClaims processing departments, insurance companies, healthcare organizations
Employer & Industry UsageHealth insurance providers, government programs, healthcare organizationsInsurance companies, third-party administrators, healthcare payers
Common Search & ComparisonCustomer support, beneficiary assistance, healthcare benefitsClaims processing, insurance claims, reimbursement

Beneficiary Services Representatives primarily assist beneficiaries with healthcare benefits and inquiries, focusing on customer service. Claims Specialists handle the processing and review of insurance claims, ensuring proper reimbursement. While both roles work within healthcare and insurance industries, their core functions differ: one emphasizes beneficiary support, the other claims processing.

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What job categories do people searching Beneficiary Services Representative jobs look for?

The top searched job categories for Beneficiary Services Representative jobs are:

Beneficiary Services Representative jobs near you
Infographic showing various Beneficiary Services Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, and 4% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.

Patient Services Representative

Tidelands Health

$15.25 - $19.50/hr

Part-time

Re-posted 3 days ago

Tidelands Health rating

5.6

Company rating: 5.6 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

799th of 887 rated healthcare providers

Job description

Employee Type:

PRN

Work Shift:

Night - 12 hour shift (United States of America)

Join Team Tidelands and help people live better lives through better health!


Patient Services Representative I
Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day.
A Brief Overview
The purpose of this position is to register all patients needing services and handle all first call resolution for the departments assigned. The role is responsible for obtaining accurate and complete demographic, financial, and medical information. The employee will transfer calls as appropriate, and/or make appointments as necessary. For procedures, the employee may pre-register the patient, verifying insurance, etc. In addition, the employee may assist with making referrals. The person performing this role anticipates and acts on the needs of our customers to enhance the patient experience.
What you will do
  • Engages patients throughout the registration process to create a welcoming and positive patient experience. Consistently displays good customer service behaviors to all patients and visitor to promote positive patient experiences. Assists patients to their destination as needed and manage patient visitor flow according to hospital policy and safety guidelines.
  • Obtains and accurately enters required information for registration into the electronic health system. Follows prescribed procedures for positive identification and medical record number assignment, so no duplication or wrong patient registrations occur. Reviews demographic and insurance information for completeness, and follows through with correcting any deficiencies, so collection efforts are not delayed due to insufficient or incorrect information.
  • Ensures all appropriate signatures are obtained and forms completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy Notice, AOB (Assignment of Benefits), Medicare Important Messages etc. Provides information and/or handouts and answers questions on patient rights and responsibilities, HIPAA Privacy Notice, and any financial assistance documentation.
  • Thoroughly and accurately documents insurance verification information in the system, identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral, authorization and pre-certification information if needed; documents this information in the EHR, electronic health record.
  • Answers all inbound and/or places outbound telephone calls as assigned and appropriately directs callers and ensures all calls are handled efficiently and in a timely manner. Consistently exhibits the highest level of service to all callers and fellow staff.
  • Contacts patients by phone to remind them of upcoming appointments, relay instructions and/or to ask follow-up care questions as needed. Cancels and reschedules appointments as needed. May assist with identifying and initiating necessary referrals for specialist appointments, procedures and tests.
  • Organizes, expedites and follows-up on any paperwork related to patient care.
  • Schedules various types of appointments for providers and communicates any necessary instructions to the patient.
  • Performs various administrative support duties for department/work location. Opens, sorts and distributes all types of mail and correspondence as is necessary and assigned.

Education Qualifications
  • High School Diploma or equivalent Preferred

Experience Qualifications
  • At least 1 year of related customer facing experience, preferably in healthcare. Required
  • Demonstrated understanding of basic medical terminology Preferred
  • Call center, patient scheduling and/or physician front-office experience Preferred

Skills and Abilities
  • Ability to interact successfully with the public.
  • Ability to perform effectively despite sudden deadlines and changing priorities; maintaining personal composure in high stress situations.
  • Ability to demonstrate a high level of interpersonal skills required to interact with patients, patients' families/visitors and clinical staff.
  • Ability to perform with a high degree of accuracy and with meticulous attention to detail. Demonstrate a strong ability to use initiative and judgment and to identify, analyze and solve problems.

Physical Demand
Light Physical Demand
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description.Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.

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