Patient Service Representative

Optum; Acton (MA); On-site; USD 22,041 - 39,950; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase & 401k

Job summary

Acton Medical Associates, P.C. (an Optum family business) is seeking a Patient Services Representative to manage the front-end of the patient experience.

You will greet patients, verify demographics and insurance, collect co-pays, and schedule appointments to ensure smooth, efficient visits. The role emphasizes professional communication, accurate data handling, and the ability to multitask in a fast-paced primary care setting.

Qualifications

• High school education or GED or 1+ years related experience in medical field or equivalent.
• Medical receptionist experience and/or background strongly preferred.

Responsibilities

• Greet patients and verify demographics.
• Verify insurance information and HIPAA data.
• Collect and post co-payments accurately.
• Schedule urgent care, same-day and future appointments per protocol.
• Check insurance eligibility for same-day appointments.
• Enter referrals and process prior authorizations for imaging as required.
• Confirm appointments via automated call reports and scheduling systems.
• Prepare necessary paperwork for daily appointments.
• Maintain professionalism and deliver excellent patient service.
• Comply with HIPAA & PHI regulations at all times.
• Support other duties as assigned by the Patient Services Manager or Supervisor.

Skills

Communication skills

Phone etiquette

Multitasking

Customer service

Education

High school diploma or GED

Tools

HIPAA compliance

Job description

Explore opportunities with Acton Medical Associates, part of the Optum family of businesses. Acton Medical Associates provides exceptional primary care for adult and pediatric patients. Our team of dedicated physicians and skilled professionals deliver personalized, top-notch support to every patient. With a focus on integrity and trust, we foster a care experience that brings confidence to patients and their families. Through our collaborative environment and commitment to clinical excellence, you'll have the opportunity to make a meaningful impact while growing your career. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together.

The Patient Services Representative takes care of the beginning and end of the appointment process for the patient. This position is vital to giving the patient the proper service and treatment they deserve as soon as they walk into our facility. In this role, the Patient Services Representative represents Acton Medical Associates, P.C. in a professional and courteous manner, greets the patient, verifies insurance, confirms patient demographics, accepts co-payments and makes follow-up appointments if necessary. These are just some of the important responsibilities the Patient Services Representative has to ensure our patients enjoy the best healthcare experience possible. This position requires excellent communication, phone and computer skills and the ability to multi-task.

Primary Responsibilities:

• Works full time, on site, to support the needs of the department and of AMA-PC
• Maintain a high level of professionalism and provide excellent patient servicing
• Ensure that all necessary paperwork is ready for the day's appointments
• Verify the patient's demographic information; check and scan insurance cards. Confirm that HIPAA information is filled out properly and up to date
• Collect and correctly post co-payments to the patient's account. Balance deposit daily
• Schedule urgent care/same day and future appointments according to the physician protocols
• Check patient's insurance eligibility for all same day appointments prior to their arrival using the necessary web sites
• Confirm all patient appointments according to the automated call report provided to each floor
• Schedule appointments and enter referral requests from patient calls, the patient portal and faxes received from physician offices
• Process referrals and obtain prior authorizations for MRIs and CT scans per insurance requirements
• Comply with HIPAA & PHI (Protected Health Information) Regulations at all times
• Other duties as assigned by the Patient Services Manager or Supervisor

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High school education or general degree (GED) or 1+ years related experience in the medical field or equivalent of education and experience
• Medical receptionist experience and/or background. Public contact experience may be substituted

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.