Patient Service Representative

Taleo; Boston (MA); Remote; USD 42,000 - 54,000; Full time

Job summary

Atrius Health is seeking a Patient Service Representative to support patients across our Massachusetts locations with remote options. This full-time role requires coordinating appointments, managing patient records, and delivering courteous, accurate service while upholding privacy and compliance standards.

You’ll screen inquiries, assist with renewals and referrals, and collaborate with the care team to optimize patient flow.

Qualifications

• High School Diploma / GED or equivalent work experience.
• 1+ years of experience in a medical, healthcare or medical insurance setting.
• EMR experience and/or aptitude to master the EMR based on other technology experience.
• Experience booking, rescheduling, and canceling appointments; and verifying patient eligibility using digital scheduling platforms.
• Proficient in Microsoft Outlook, Microsoft Teams, Microsoft Word, and Microsoft Excel for communication, scheduling coordination, reporting, and internal collaboration.
• Ability to complete up to 3 weeks of training on-site at one of our locations.
• Ability to work Monday - Thursday 8:30 am - 5:00 pm and Saturdays 7:30 am - 4:00 pm.

Responsibilities

• Screen all incoming patient inquiries to determine whether those inquiries can be handled by the Patient Service Representative or directed to other team members.
• Courteous, friendly, patient-focused communication.
• Resolves issues in patient satisfaction, patient flow, and procedure compliance.
• Participates in resolving operational difficulties and communicates with supervisor as needed.
• Resolves patient issues and may refer difficult calls to higher level staff.
• Initiates requests for forms, renewals, referrals, prior authorizations, and other admin needs.
• Reviews and updates missing/outdated information in patient records.
• Maintains effective communication with patients, care teams and providers.
• Monitors appointment schedules to optimize clinic utilization.
• Assists with data collection and quality improvement initiatives.
• Participates in special projects within the department.
• Other duties as assigned.

Education

High School Diploma or GED

Equivalent Work Experience

Tools

Microsoft Outlook

Microsoft Teams

Microsoft Word

Microsoft Excel

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Patient Service Representative (2392444)

Job Number:

2392444

This position is Remote in Massachusetts. If you are located within commutable distance to one of the following locations: PO Square-147 Milk Street, Boston, MA; Watertown-485 Arsenal Street, Watertown, MA; Norwood-1177 Providence Highway, Norwood, MA; or Quincy-500 Congress Street, Quincy, MA, you will have the flexibility to work remotely* as you take on some tough challenges.

Explore opportunities with Atrius Health, part of the Optum family of businesses. We’re an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, PA/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together.

This position is full-time (40 hours/week), Monday - Thursday 8:30 am - 5:00 pm and Saturdays 7:30 am - 4:00 pm. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours listed above. It may be necessary, given the business need, to work occasional overtime. Employees will also need to be flexible to work 1 major holiday and 1 minor holiday per calendar year.

We offer up to 3 weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment. Training will be on-site at one of our Boston locations (PO Square-147 Milk Street, Boston, MA; Watertown-485 Arsenal Street, Watertown, MA; Norwood-1177 Providence Highway, Norwood, MA; or Quincy-500 Congress Street, Quincy, MA)

Primary Responsibilities:

• Screens all incoming patient inquires (through phone, online/medical record message, or other means) to determine whether those inquiries can be appropriately handled by the Patient Service Representative or if they need to be directed to other team members
• Courteous, friendly, problem solver with customer service, patient focused communication
• Resolves issues in areas involving patient satisfaction, patient flow, and compliance with procedures and guidelines. Advocates for patients as appropriate
• Participates in resolving operational difficulties and communicates with supervisor regarding department issues and problems as necessary
• Resolves patient issues and ensures satisfaction. May refer difficult or highly complex phone calls and issues to higher level staff
• Initiates requests for forms, letters, medication renewals, referrals, prior authorizations, and any other administrative needs submitted by patients and answers any corresponding questions. Understands all documents and processes
• Reviews and facilitates the updating of missing /outdated information in the patient record, such as demographics, primary care physician selection, and insurance
• Develops and maintains effective and efficient communication with the patient, interdisciplinary team, department staff, providers, and other agencies
• Reviews department appointment schedules to ensure that clinic utilization is optimized and effectively supports the needs of the clinics as well as the needs of the patients
• Assists with basic data collection activities, ensuring data is properly collected and accurate (e.g. no show reports, telephone statistics)
• Participates in problem solving activities, focusing on productivity and quality. Works with supervisors to ensure continuous improvement of the department
• Participates in special projects and ongoing programs unique to the department
• Other duties as assigned

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 Diploma / GED OR Equivalent Work Experience
• Must be 18 years of age OR older
• 1+ years of experience working in a medical, healthcare or medical insurance setting
• Electronic Medical Record (EMR) experience and/or aptitude to master the EMR based on other technology experience
• Experience booking, rescheduling, and canceling appointments; and verifying patient eligibility using digital scheduling platforms
• Proficient in Microsoft Outlook, Microsoft Teams, Microsoft Word, and Microsoft Excel for communication, scheduling coordination, reporting, and internal collaboration
• Able to complete up to 3 weeks of training on-site at one of our locations (PO Square-147 Milk Street, Boston, MA, Watertown-485 Arsenal Street, Watertown, MA, Norwood-1177 Providence Highway, Norwood, MA or Quincy-500 Congress Street, Quincy, MA.)
• Ability to work Monday - Thursday 8:30 am - 5:00 pm and Saturdays 7:30 am - 4:00 pm. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours listed above. It may be necessary, given the business need, to work occasional overtime. Employees will also need to be flexible to work 1 major holiday and 1 minor holiday per calendar year.

Preferred Qualifications:

• 1+ years of experience working in a clinical setting
• Epic Experience
• Working knowledge of patient related documents

Telecommuting Requirements:

• Reside within commuting distance of one of the following office locations: PO Square-147 Milk Street, Boston, MA, Watertown-485 Arsenal Street, Watertown, MA, Norwood-1177 Providence Highway, Norwood, MA or Quincy-500 Congress Street, Quincy, MA.
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

Soft Skills:

• Well organized
• Ability to solve problems
• Ability to multi-taskStrong attention to detail

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