Healthcare Support Rep at Paytient | $17-20/hr + Equity in Columbus
Career & Market Insight
This role is a solid entry point into the health-tech and fintech support space, particularly for candidates who want meaningful work in healthcare access. Paytient, founded in 2018 and now serving nearly 6,000 employer health plans, is at a growth stage that offers real upward mobility for high performers.
Compensation context: At $17–$20/hour, this sits at or slightly above the national average for customer support roles (~$16–$18/hour), and is competitive for Columbia, MO's cost of living. However, it's below what fully remote health-tech support roles at similar companies pay in higher-cost markets ($22–$28/hour).
Skills you'll build:
- Healthcare billing and payment systems literacy (Medicare, HSA/HPA products)
- Technical troubleshooting and escalation workflows using Jira and Confluence
- Regulated-industry data handling (HIPAA-adjacent accuracy standards)
- Cross-functional collaboration with Product and Technical Support teams
Green flags: The structured two-stage career path (M3P → HPA) signals intentional employee development. Five weeks PTO, paid summer break, and 10 weeks parental leave are exceptional for an hourly role — signaling a culture that invests in people. Stock options for a non-technical hourly role is rare and noteworthy.
Watch out for: The 1:30–10:00 PM shift with rotating weekends can affect work-life balance. Weekend days-off scheduling based on "business needs" reduces predictability. Evaluate whether the evening schedule aligns with your personal commitments before applying.
About Paytient:
We're on a mission to help people better access and afford care.
Every day, millions of people, and their loved ones, need to see a doctor. For most of us, that moment is an uncertain one — we're unsure of what's wrong, who to go to, how long it'll take to be seen, when we'll feel better, and what it'll cost.
Paytient partners with thoughtful employers and health plans who understand the impact of that moment and want to ensure that every one of their plan members are easily able to access and afford care. Our clients understand that an improved ability to self-pay for care changes patient behavior and creates value for the health plan. This founding belief is becoming an emerging standard of care in health plan design and is now, in fact, a mandatory capability in some governmental health plans. Founded in 2018, Paytient is now part of nearly 6,000 employer health plans and providing certainty that people are better able to access and afford care.
We're looking for passionate, collaborative builders to join our team and help us create a future where everyone can more easily access and afford care.
The Mission: Why Paytient Exists
At Paytient, we believe that the cost of care should never be the reason someone goes without it. We are a healthcare-focused company building a world where people can access and pay for the care they need without the burden of high-interest debt.
As a Support Representative, you are on the front lines of this mission. You aren't just resolving tickets; you are ensuring a senior can afford their life-saving medication and a family can pay for a doctor's visit. You provide the technical expertise and human empathy required to make the healthcare system work better for everyone.
The Role: Advocate Support & Member Care
We support a dual ecosystem: Advocates (the professionals at our health plan partners who help seniors navigate benefits) and Paytients (the members actually using our cards to pay for care).
Your Journey:
- M3P Specialist: You will start by supporting our Medicare Prescription Payment Plan (M3P). You'll be the technical expert for partners who use our digital portals to assist Medicare members.
- HPA Evolution: Once you have mastered the M3P product, you will train to support our Health Payment Account (HPA) product, working directly with members to manage their interest-free payment plans and resolve transaction issues.
What You'll Do:
- Technical Problem Solving: You'll dig into the "why" behind transaction declines, portal login issues, and dashboard errors. You are the detective who investigates a problem and sees it through to the finish.
- Mission-Driven Support: Provide clear, professional, and empathetic guidance via phone and email. We prioritize quality and kindness over "call volume."
- Collaboration: Document issues in Jira and use Confluence to stay updated on work instructions. You'll work closely with our Product Technical Support (PTS) team to escalate bugs and improve our tools.
- Attention to Detail: In healthcare, accuracy matters. You'll ensure member plans are structured correctly and data is handled with the highest level of integrity.
Who You Are
- Technically Savvy: You navigate digital tools with ease. You are comfortable troubleshooting across multiple platforms and explaining technical steps to others. If you've ever been the "tech support" for your family, you'll fit right in.
- Healthcare Heart: You are passionate about helping people navigate the often-confusing world of healthcare costs.
- Detail-Oriented: You take pride in "getting it right the first time" and ensuring nothing falls through the cracks.
- Resourceful: You are a proactive learner who enjoys finding the root cause of an issue.
The Logistics
Remote with Roots: We believe in the flexibility of remote work balanced by the "roots" of our Columbia, MO community.
Work Location: Columbia Office. Candidates must reside within a 30-mile radius of our office.
Shift Time: Monday – Friday 1:30 PM – 10:00 PM CST with rotating weekends (every 3rd weekend). In-office work is required 3x a week.
Weekend Rotation: You will work a weekend shift every 3rd weekend (Saturday and Sunday). Weekend shifts are either 7:00 AM – 3:30 PM, 9:30 AM – 6:00 PM, or 1:30 PM – 10:00 PM. For security and safety, all weekend shifts and any shift ending after 6:00 PM CST are 100% remote.
Days Off: On weeks where you work the weekend, your two days off during the week will be scheduled based on business needs (can fall on any weekday).
Training Schedule
- Duration: Approximately 4 weeks.
- Training Hours: Monday – Friday, 8:30 AM – 5:00 PM CST (includes a 30-minute unpaid lunch break).
- Full attendance during the training period is required.
Why Paytient?
If you want to use your technical skills to solve real-world healthcare problems, you belong here. We are a growing team dedicated to making care more accessible, one transaction at a time.
Compensation Target: $17.00 – $20.00 per hour
Benefits We Offer for Full-Time Roles:
- Medical, dental, and vision insurance
- $4,400 annual HSA contribution
- Paytient Health Payment Account (HPA)
- Monthly lifestyle spending stipend
- Five weeks of annual PTO
- Week-long fully paid 'summer break' for all employees!
- Ten weeks of bonding leave for new parents
- Two weeks of caregiver leave
- Employer paid short-term and long-term disability
- 401k plan access with a 4% employer match
- Stock options in Paytient
- ...and more!
Paytient is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
⚠️ Important Notice ⚠️ Please note that all official Paytient recruiting emails come from @paytient.com. If you receive emails from any domain other than @paytient.com, do not respond and report it to us immediately.
Frequently Asked Questions
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