Quality Patient Service Representative

Job Description:

Join Our Team as a Patient Service Representative!

We are seeking an organized and compassionate Patient Service Representative to join our healthcare team. If you're passionate about providing exceptional care and want to work in an environment that values growth, we’d love to hear from you!

This non-patient-facing role focuses on reviewing quality reports, managing data, and making outreach calls to help close care gaps and support quality measures. Key responsibilities include verifying data accuracy, documenting findings in the EHR, coordinating follow-up needs with clinic teams, and supporting preventive care and chronic disease management initiatives. The ideal candidate is detail-oriented, comfortable working with quality metrics and reports, communicates effectively, and can work independently while collaborating with providers and care teams.

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Posting Specifics

• Pay Range: $18.31 - $23.80 depending on experience

• Benefits Eligible: Yes, check them out here

• Shift Details: Full-time, 40 hours per week, Monday - Friday 8:00am - 5:00pm

• Additional Details: Medical Assistant experience is strongly preferred

Essential Functions

• Provides courteous and professional connections with patients over the phone, in person or via secure messaging.  Resolves patient needs skills to ensure a superior customer experience by identifying and resolving patient needs related to patient intake and care.

• Documents all phone calls accurately and completely in the electronic medical record (EMR).

• Schedules patient appointments for visits, procedures, diagnostic tests, referrals, and/or consultations.

• Registers patients over the phone or in person by confirming, entering, and/or updating all required demographic data on patient and guarantor on the registration system. Follows procedures when identifying patients.

• Obtains copies of insurance cards, forms of ID, and signatures on all required forms. May verify information on appropriate accounts to determine insurance coordination of benefits, may include pre-certification/prior authorization .

• Assists patients in completing necessary forms to meet regulatory and billing needs prior to receiving clinical care. Scans necessary paperwork and educates patient on financial assistance. Proactively requests payments from patients on current and past medical services. Receives and processes those payments following appropriate procedures for handling payments.

• Stays current on role/responsibilities, updates etc. which may include reviewing monthly email/newsletter, ambulatory epic dashboard, patient access, work queues, attend clinic/service line meetings, review emails each shift, etc. to ensure the highest standard of performance is achieved.

Skills

• Professional Etiquette
• Adaptability
• Computer Literacy
• Payment Handling
• Critical Thinking
• Confidentiality
• Collaboration
• Time Management
• Problem Solving

Minimum Qualifications

• Six months of customer service experience involving interactions with customers.

• Demonstrated basic computer skills involving word processing and data entry.

• Professional manner and strong interpersonal and communication skills.

• Ability to work collaboratively with patients and fellow caregivers to deliver the highest level of customer/patient satisfaction.

• Ability to protect privacy, confidentiality, and Protected Health Information (PHI) of patients, members, and caregivers.

Preferred Qualifications

• One year of customer service experience involving interactions with customers in person and by phone.

• Billing and collections experience.

• Computer literacy in using electronic medical records (EMR) systems and other relevant software.

• High school diploma or GED preferred.

• Multilingual

Physical Requirements