Patient Service Representative I - Part-Time - Dracut UC

Tufts Medicine; Lowell (MA); On-site; USD 27,717 - 34,646; Full time

Job summary

A healthcare organization in Lowell, MA, is seeking a Patient Service Representative I. This entry-level role involves conducting patient registration and financial clearance tasks, verifying insurance, and providing exceptional customer service. Candidates should have a high school diploma and preferably experience in customer service or medical settings. A comprehensive benefits package and competitive pay are offered.

Qualifications

• 1 year of experience in customer service, hospital registration, medical office, or insurance settings.
• Ability to learn new applications such as the EHR.
• Strong attention to detail and organizational skills.

Responsibilities

• Collect demographic, financial, and clinical information for financial clearance of scheduled patients.
• Obtain missing insurance information via patient’s family or physician offices.
• Deliver excellent customer service and maintain professional courtesy to patients.

Skills

Computer literacy

Customer service

Interpersonal skills

Understanding of private insurance

Knowledge of medical terminology

Education

High school diploma or equivalent

Tools

Patient registration systems

EHR applications

Excel

Job description

Job Title

Patient Service Representative I

Hours

16 hours per week - Monday & Tuesday from 4 PM to 8 PM. Every other weekend (Saturday and Sunday) from 8-4:30 PM.

Location

Onsite at Dracut Urgent Care.

Requirements

Availability to conduct 1 full-time week of full-time training/orientation during the day shift (8:30-5) Monday through Friday. 1 summer holiday is required.

Job Profile Summary

This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. It also includes Patient Access duties such as administrative and financial‑clearance responsibilities necessary to facilitate patient procurement of clinical services, collecting demographic and financial information, scheduling services, and handling referrals.

Job Overview

This position is responsible for interviewing inpatients and outpatients to obtain accurate patient registration data, collecting and documenting data in the hospital system, completing pre‑service collection of patient liability, verifying insurance, confirming benefits eligibility, performing pre‑authorization, pre‑certification, and notification as required by third‑party providers.

Job Description

Minimum Qualifications:

• High school diploma or equivalent.

Preferred Qualifications:

• One (1) year of experience in customer service, hospital registration, medical office, or insurance settings.

Duties and Responsibilities

• Conduct Pre‑Registration tasks, collecting demographic, financial, and clinical information for financial clearance of scheduled patients.
• Obtain missing insurance information via patient’s family or physician offices and complete insurance verification using online electronic verification systems or by contacting payor directly.
• Obtain consent for treatments and authorizations as necessary, explaining signature requirements to patients clearly.
• Verify the validity of insurance coverage using eligibility tools, ensure appropriate plan codes are added to registration, and coordinate benefits.
• Collect information for auto and worker’s compensation registrations and document any missing data appropriately.
• Notify patients of financial liabilities based on insurance benefits, coverage limits, and appointment charges.
• Taking an active role in the collection of patient payments, applying policies and procedures for time‑of‑service collections, and communicating policies effectively to patients.
• Post collected payments in the system of record and verify accuracy of dollar amounts and volumes.
• Provide financial counselor contact information and document patients’ financial status for billing reference.
• Obtain authorization, pre‑certification, referral, or notification as necessary and attach verifications to patient accounts.
• Deliver excellent customer service and maintain professional courtesy to all patients.
• Interact courteously with physicians, nursing units, and office staff.
• Maintain confidentiality of hospital financial information per HIPAA and other regulations.
• Meet productivity and customer service benchmarks such as wait times, call monitoring scores, and registration volume.

Physical Requirements

• Frequent sitting, standing, walking, and lifting 10–15 pounds.
• Must be able to reach supply shelves, printers, and copiers.
• May be exposed to dust and other typical office discomforts.
• Requires manual dexterity for computer keyboard operation.
• Requires visual sight of computer screens and reading reports.
• Requires hearing communication from coworkers and clinical staff.

Skills & Abilities

• Computer literacy, including word documents, Excel, email, and capacity to learn new applications such as the EHR.
• Strong customer service and excellent interpersonal and telephone skills.
• High degree of tact for interactions with patients, physicians, and insurance companies.
• Experience using patient registration systems.
• Thorough understanding of private insurance, Medicare, and Medicaid.
• Knowledge of medical terminology.
• Excellent organizational skills, attention to detail, and ability to prioritize and be flexible.

Compensation & Benefits

At Tufts Medicine, we provide a comprehensive Total Rewards package to support health, financial security, and career growth. Compensation is based on experience, certifications, education, skills, and internal equity.

Pay Range: $20.12 – $25.15 per hour

Senior Level

Entry level

Employment Type

Full‑time

Job Function

Health Care Provider

Industry

Hospitals and Health Care