Patient Representative

California Kidney Specialists (CKS) is seeking a dedicated and experienced Patient Representative to join our U.S.-based nephrology practice. This role is based in Karachi, Pakistan, and requires on-site availability during the night shift from 9:00 PM to 5:00 AM. The ideal candidate will play a vital role in ensuring smooth patient access and administrative support by coordinating appointments, insurance verification, and communication between patients, providers, and insurance companies.

Key Responsibilities
- Schedule new-patient and follow-up appointments efficiently.
- Register patients and verify their demographic and insurance information accurately.
- Check insurance eligibility and benefits using payer portals.
- Identify referral and prior-authorization requirements for patient care.
- Submit authorization requests and follow up on their status.
- Coordinate with patients, referring offices, insurance companies, healthcare providers, and clinic staff to facilitate smooth operations.
- Request missing referrals, medical records, insurance documents, and authorization information as needed.
- Confirm appointments and clearly explain administrative requirements to patients.
- Maintain accurate notes and update patient information in Cerner electronic health records.
- Escalate issues such as authorization delays, denials, incomplete referrals, and scheduling problems promptly.
- Protect patient information by adhering to HIPAA and organizational privacy policies.

Required Qualifications
- Previous experience in patient access, medical scheduling, healthcare call centers, or a similar healthcare role.
- Hands-on experience using Cerner or Oracle Health electronic health record systems.
- Strong knowledge of U.S. health insurance processes, including eligibility, benefits, referrals, and prior authorizations.
- Experience navigating insurance payer portals effectively.
- Excellent spoken and written English communication skills.
- Professional telephone etiquette and patient service skills.
- Strong attention to detail, organizational abilities, and follow-up skills.
- Ability to work on-site in Karachi during the night shift (9:00 PM to 5:00 AM).

Preferred Qualifications
- Experience supporting a U.S.-based medical practice.
- Familiarity with nephrology or other specialty care practices.
- Knowledge of Medicare and commercial insurance plans.

This position offers the opportunity to contribute to a specialized healthcare environment supporting kidney care while working closely with a multidisciplinary team. If you are detail-oriented, patient-focused, and experienced in healthcare administrative support, this role could be an excellent fit.